Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL BALLANTINE, AGACNP
ActiveJILL BALLANTINE, AGACNP is a Gerontological Nurse Practitioner healthcare provider located in DUBUQUE, Iowa. NPI 1073979555 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · DUBUQUE, IA
Registration Details
- NPI Number
- 1073979555
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2016 (10.53931633292 yrs)
- Last Updated
- Jan 13, 2016
- License
-
H098201 (IA)
Practice Information
- Address
-
250 MERCY DRDUBUQUE, IA, 520017320Browse IA providers · Browse ZIP 52001
- Phone
- 5635843226
- Fax
- 5635843227
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.