Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Destiny Shantee Ballance, MSN, APRN, FNP-BC

Individual provider Registered Nurse · NPI 1073334959

Destiny Shantee Ballance, MSN, APRN, FNP-BC is a Registered Nurse in Rancho Cucamonga, California. Practices as a sole proprietor. Licensed in California, New York and Washington.

Licensed in
CA, NY, WA
In the registry since
2024
Specialties on file
5
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

11175 Azusa Ct Ste 110
Rancho Cucamonga, CA 91730-4933
Phone: (909) 715-9611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95038680 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95042920 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 359569 (NY)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 95042920 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP70114616 (WA)

Record details

NPI number1073334959
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APRN , FNP-BC
Sole proprietorYes
NPI enumeratedOctober 23, 2024
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

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