Ballard, Marianna Boyles

Ballard, Marianna Boyles is an individual health care provider with primary practice located at 1 Medical Center Blvd , Cookeville TN 38501-4294. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Ballard, Marianna Boyles can be contacted via phone (931) 783-2770.

Contact Information

Primary practice address
1 Medical Center Blvd Cookeville TN 38501-4294
Phone: (931) 783-2770
Fax: (931) 525-1176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 20392 Tennessee

Profile Details

NPI number 1871979856
LBN Legal business name Ballard, Marianna Boyles
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2015
Last updated Apr 7th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871979856 NPPES
Tennessee MEDICAID Q016299
Tennessee Other 6047498
Tennessee MEDICAID 7100421080

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