Healthcare Provider Details

I. General information

NPI: 1023774718
Provider Name (Legal Business Name): JAMEE P BALL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 06/26/2024
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12250 VENTURA BLVD
STUDIO CITY CA
91604-2518
US

IV. Provider business mailing address

20555 DEVONSHIRE ST # 484
CHATSWORTH CA
91311-3208
US

V. Phone/Fax

Practice location:
  • Phone: 646-650-5337
  • Fax: 646-871-6820
Mailing address:
  • Phone: 818-626-9482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number847213
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: