Provider Demographics
NPI:1285526236
Name:BALLARD, JOI L (CNA)
Entity type:Individual
Prefix:
First Name:JOI
Middle Name:L
Last Name:BALLARD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3833 CUMING ST
Mailing Address - Street 2:APT 1
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1222
Mailing Address - Country:US
Mailing Address - Phone:531-284-0686
Mailing Address - Fax:
Practice Address - Street 1:3833 CUMING ST
Practice Address - Street 2:APT 1
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-1222
Practice Address - Country:US
Practice Address - Phone:531-284-0686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE131826251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health