Healthcare Provider Details

I. General information

NPI: 1386399863
Provider Name (Legal Business Name): ANGELA FAITH BALL CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA FAITH KEESEE

II. Dates (important events)

Enumeration Date: 02/14/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 FARSON ST STE 126
BELPRE OH
45714-1068
US

IV. Provider business mailing address

807 FARSON ST STE 126
BELPRE OH
45714-1068
US

V. Phone/Fax

Practice location:
  • Phone: 740-374-7985
  • Fax: 740-374-7990
Mailing address:
  • Phone:
  • Fax: 740-374-7990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0029392
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: