M. JANICE BALLOU PNP NPI 1952300105

NPI Information

NPI: 1952300105
Provider Name: M. JANICE BALLOU, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
5201 HARRY HINES BLVD
MEDICAL STAFF SERVICES
DALLAS, TX
ZIP 75235
Phone: (214) 590-8006
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M. Janice Ballou, PNP is a pediatrics nurse practitioner in Dallas, TX. M. Janice Ballou, PNP NPI is 1952300105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5201 HARRY HINES BLVD
MEDICAL STAFF SERVICES
DALLAS, TX
ZIP 75235-708
Phone: (214) 590-8006

The enumeration date for this NPI number is 7/19/2005 and was last updated on 11/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	529718	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	063830603	MEDICAID	TEXAS
2	S81405	MEDICARE UPIN	TEXAS
3	063830602	MEDICAID	TEXAS
4	82N791	MEDICARE PIN	TEXAS
5	8N4803	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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