Provider Demographics
NPI:1376104984
Name:BALL, TEMRE JANE (AA,CPR,BLS,QMAP)
Entity Type:Individual
Prefix:MISS
First Name:TEMRE
Middle Name:JANE
Last Name:BALL
Suffix:
Gender:F
Credentials:AA,CPR,BLS,QMAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1054 MCLISH ST ARDMORE OKLAHOMA 73401
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401
Mailing Address - Country:US
Mailing Address - Phone:580-826-7934
Mailing Address - Fax:
Practice Address - Street 1:1235 E 15TH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-2201
Practice Address - Country:US
Practice Address - Phone:562-238-4429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion