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

Jonathan D Ballard, CNP

Individual provider Nurse Practitioner · NPI 1881150100

Jonathan D Ballard, CNP is a Nurse Practitioner in Waverly, Ohio. Qualified in 2019, 7 years ago. Practices with National Church Residences Medical Home, a 7-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

835 W Emmitt Ave
Waverly, OH 45690-1190
Phone: (740) 947-7662
Fax: (740) 941-0099
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.025703 (OH)

Record details

NPI number1881150100
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 11, 2019
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address1735 27th St Ste B06, Portsmouth, OH 45662-2681

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice National Church Residences Medical Home — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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