Destiny Ann Ballew, RN Valid NPI

Individual provider · Registered Nurse · Clinton, TN

NPI

1861013799

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

216024 (TN)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-05-01

Last updated

2020-05-01