NPI 1003611757

Tawanna R Ballard

Practitioner Social Worker Jackson, TN

Practice location

Address: 39 Murray Guard Dr, Jackson, TN 38305-3610
Phone: (731) 736-4400
Mailing address: 10 Hughes Loop, Milan, TN 38358-5503

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 8403 (TN)

Other Social Worker providers in Tennessee →

Registry record

NPI: 1003611757
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2025
Record last updated: 17 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.