Ballard, Shanickqua
Ballard, Shanickqua is an individual health care provider with primary practice located at 200 Carmichael Way Ste 606 , Chesapeake VA 23322-2489. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Ballard, Shanickqua can be contacted via phone (757) 401-4163.Contact Information
Primary practice address
200 Carmichael Way Ste 606
Chesapeake VA 23322-2489
Phone: (757) 401-4163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 0024190636 | Virginia |
Profile Details
| NPI number | 1588401103 |
|---|---|
| LBN Legal business name | Ballard, Shanickqua |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2024 |
| Last updated | May 21st, 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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