STEPHANIE BALLY APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1356991772- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- 926 MAIN ST, NASHVILLE, TN, 372063614
- Phone
- (615) 436-9060
- Fax
- (615) 235-9725
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: KS #78990
Family Medicine
License: KS #5378990072
All Addresses
MAILING
2002 N QUAIL CROSSING ST
ANDOVER, KS, 670027525