Provider Demographics
NPI:1447562988
Name:BALL, SUSAN CRAMP (MNSC, GNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:CRAMP
Last Name:BALL
Suffix:
Gender:F
Credentials:MNSC, GNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PANGBURN
Mailing Address - State:AR
Mailing Address - Zip Code:72121-8881
Mailing Address - Country:US
Mailing Address - Phone:501-728-3164
Mailing Address - Fax:501-728-3164
Practice Address - Street 1:111 CRESTVIEW DR
Practice Address - Street 2:
Practice Address - City:PANGBURN
Practice Address - State:AR
Practice Address - Zip Code:72121-8881
Practice Address - Country:US
Practice Address - Phone:501-728-3164
Practice Address - Fax:501-728-3164
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01447ANP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology