DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE BALLARD, FNP-C

Active

Nurse Practitioner · PROVO, UT

Registration Details

NPI Number
1629675699
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2020 (5.5530776326167 yrs)
Last Updated
Nov 4, 2024
Licenses
2161573 (ID)
11985380-4405 (UT)
AP61095878 (WA)

Practice Information

Address
1055 N 500 W STE 205
PROVO, UT, 846043305
Browse UT providers · Browse ZIP 84604
Phone
8013548225
Fax
8014180941
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in PROVO, UT

Name Credential NPI
TRACY CALL-SCHMIDT 1417941196
NANCY TROTTER NP 1881682086
MARSHA K MEDFORD APRN 1215902309
CLARENE TOWNSEND HANSEN FNP 1114985553
RODNEY H NEWMAN NP 1588622013
JAMES CHRISTIAN BIESINGER NP 1205885472
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.