Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cadesha Coreen Ballard

Individual provider Licensed Practical Nurse · NPI 1205522794

Cadesha Coreen Ballard is a Licensed Practical Nurse in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023

Practice location Address checks out

1745 N 4th St
Philadelphia, PA 19122-3008
Phone: (215) 236-0100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN28451 (PA)

Record details

NPI number1205522794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023

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