MRS. MELISSA MARIE BALLARD-MARTIN A.P.R.N. NPI 1891381117

NPI Information

NPI: 1891381117
Provider Name: MRS. MELISSA MARIE BALLARD-MARTIN, A.P.R.N.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1563 KINGSLEY AVENUE
SUITE 106
ORANGE PARK, FL
ZIP 32073
Phone: (904) 272-6161
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MRS. Melissa Marie Ballard-martin, A.P.R.N. is a family nurse practitioner in Orange Park, FL with 4 years of experience. MRS. Melissa Marie Ballard-martin, A.P.R.N. NPI is 1891381117. 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:

1563 KINGSLEY AVENUE
SUITE 106
ORANGE PARK, FL
ZIP 32073
Phone: (904) 272-6161
Fax: (904) 389-5332

The NPI 1891381117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2020 and was last updated on 7/20/2022.

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	363LF0000X	Nurse Practitioner	Family	3-000140	ALABAMA	No
2	363LF0000X	Nurse Practitioner	Family	APRN11019017	FLORIDA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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