JARED JOSEPH DONNELLAN BALLARD NPI 1649797663

NPI Information

  • NPI: 1649797663
  • Provider Name: JARED JOSEPH DONNELLAN BALLARD
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4 COURT ST STE 203
    PLYMOUTH, MA
    ZIP 02360
  • Phone: (617) 934-6669

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NPI Details

Jared Joseph Donnellan Ballard is a psychiatric/mental health nurse practitioner in Plymouth, MA. Jared Joseph Donnellan Ballard NPI is 1649797663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4 COURT ST STE 203
PLYMOUTH, MA
ZIP 02360-328
Phone: (617) 934-6669
Fax: (617) 315-2290

The enumeration date for this NPI number is 8/30/2017 and was last updated on 7/25/2025.

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
1163W00000XRegistered NurseRN2304514MASSACHUSETTSNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN2304514MASSACHUSETTSYes

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: 11/21/2025

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