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Jadelyn Ballard-Witherspoon
NPI 1659185635 · on the registry since 2025
Practice
- Address
- 1621 Espanola Ave
Holly Hill, FL 32117 - Phone
- (904) 415-8844
- Organisation at this address
- Atlas Aba
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida