Dr JIMMY ELDRIDGE BALLARD is a male medical professional, specializing in Nurse Practitioner. He graduated in 2005.
NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC.
616 W KEISER AVE
NEA BAPTIST CLINIC OSCEOLA
OSCEOLA
AR
723703504
Tel: 8705635888
| Npi | 1376843458 |
| Pac Id | 3173706900 |
| Professional Enrollment Id | I20110331000498 |
| Last Name | BALLARD |
| First Name | JIMMY |
| Middle Name | ELDRIDGE |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | NORTHEAST ARKANSAS CLINIC CHARITABLE FOUNDATION, INC. |
| Group Practice Pac Id | 2961547526 |
| Number Of Group Practice Members | 225 |
| Line 1 Street Address | 616 W KEISER AVE |
| Line 2 Street Address | NEA BAPTIST CLINIC OSCEOLA |
| Marker Of Address Line 2 Suppression | |
| City | OSCEOLA |
| State | AR |
| Zip Code | 723703504 |
| Phone Number | 8705635888 |
| Hospital Affiliation Ccn 1 | 040069 |
| Hospital Affiliation Lbn 1 | GREAT RIVER MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 041316 |
| Hospital Affiliation Lbn 2 | SOUTH MISSISSIPPI COUNTY REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 040118 |
| Hospital Affiliation Lbn 3 | NEA BAPTIST MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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