HomeNPI Verification

NPI Verification

National Provider Identifier: 1710111372

Wendy Michelle Ballenger, DO

Individual Provider

Credentials

Primary Specialty

Pediatrics

Code: 208000000X

All Specialties (4)

Internal Medicine

Code: 207R00000X

Internal Medicine

Code: 207R00000X

Pediatrics

Code: 208000000X

Pediatrics

Code: 208000000X

Primary

Practice Address

7148 KERR STREET PLACE

SUITE 110

OLIVE BRANCH, MS 386543865

Phone: 662-222-6724

NPI Enumeration Date

May 12, 2009

NPI Number

1710111372

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry