NPI 1245584762

Vergena Raeonda Ballenger

Practitioner Community Health Worker Poplar Bluff, MO

Practice location

Address: 3001 Warrior Ln, Poplar Bluff, MO 63901-8685
Phone: (573) 686-1200
Fax: (573) 686-1029

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Missouri →

Registry record

NPI: 1245584762
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2012
Record last updated: 6 Nov 2012

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.