NPI 1972257525 · live from the CMS NPI Registry
Jessica Ballesteros-Holmes, CPNP
Nurse Practitioner, Pediatrics in Bristow, VA. National Provider Identifier 1972257525, active.
NPI record
| NPI | 1972257525 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 10492 Bristow Center Dr, Bristow, VA 20136 |
| Practice phone | 571-379-4246 |
| Mailing address | 3011 Williams Station Rd, Matthews, NC 28105 |
| Enumerated | February 11, 2022 |
| Last updated | February 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | BALL-37H6G (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.