Provider Demographics
NPI:1730862517
Name:BALANCE CARE SOLUTIONS PLLC
Entity type:Organization
Organization Name:BALANCE CARE SOLUTIONS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JARRIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:706-575-8345
Mailing Address - Street 1:2529 RAEFORD RD STE A
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5483
Mailing Address - Country:US
Mailing Address - Phone:910-426-6363
Mailing Address - Fax:910-637-6083
Practice Address - Street 1:2529 RAEFORD RD STE A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5483
Practice Address - Country:US
Practice Address - Phone:910-426-6363
Practice Address - Fax:910-637-6083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1154865251OtherNPI