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

Individual provider Contractor · NPI 1629083373

MS. Antionette Ballard, QDDP is a Contractor in Norfolk, Virginia. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

1216 E Little Creek Rd Ste 303
Norfolk, VA 23518-3900
Phone: (757) 289-5946
Fax: (757) 480-0528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1629083373
Entity typeIndividual (Type 1)
GenderFemale
Credentials QDDP
Sole proprietorYes
NPI enumeratedJuly 30, 2006
Last updated in NPPESJuly 9, 2007

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