IndividualActive
Jill Ballantine, AGACNP
NPI 1073979555 · Gerontology Nurse Practitioner · Dubuque, IA
Provider details
- NPI number
- 1073979555
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- License
- H098201 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
250 Mercy Dr
Dubuque, IA 52001-7320
Phone: (563) 584-3226
Fax: (563) 584-3227
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Associates Dr
Dubuque, IA 52002-2201
Registry dates
- Enumerated
- 2016-01-13
- Last updated
- 2016-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.