Doctor Name: | JEAN MARIE BALL |
NPI Number: | 1518040237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 050380 COMPACT |
Business Practice Address: | 2531 White Mountain Highway (white Mtn. Medical Ctr.) Suite A Sanbornville, NH - 03872 |
Business Phone Number: | 6039946465 |
Business Fax Number: | 6035223457 |
Mailing Address: | 2531 White Mountain Highway (white Mtn. Medical Ctr.), Suite A SANBORNVILLE |
State: | NH |
Postal Code: | 03872 |
Phone Number: | 6039946465 |
Fax Number: | 6035223457 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 01/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 050380 COMPACT |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |