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DESTINY SHANTEE BALLANCE MSN, APRN, FNP-BC
NPI 1073334959
Nurse Practitioner in Rancho Cucamonga, CA

Active since October 23, 2024
11175 AZUSA CT STE 110, RANCHO CUCAMONGA, CA 91730(909) 715-9611 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2026, Mar 7, 2026 (2 updates tracked since 2026).

About Destiny Shantee Ballance Msn, Aprn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINY SHANTEE BALLANCE MSN, APRN, FNP-BC (NPI 1073334959) is an individual nurse practitioner in Rancho Cucamonga, California, licensed in California (95038680) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1073334959
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDESTINY SHANTEE BALLANCECredential: MSN, APRN, FNP-BC
Location Address11175 AZUSA CT STE 110Rancho Cucamonga, CA 91730-4933
Mailing Address11175 Azusa Ct Ste 110Rancho Cucamonga, CA 91730-4933
Phone(909) 715-9611
Sole ProprietorYes
Enumeration DateOctober 23, 2024
Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1073334959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95038680
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 95042920 (CA)
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 95042920 (CA)
11175 AZUSA CT STE 110, Rancho Cucamonga, CA 91730
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARQUAN THOMAS
Community Health Worker
11175 AZUSA CT STE 110
RANCHO CUCAMONGA, CA 91730
San Bernardino County (626) 469-1158
SONIA BHANSALI
Social Worker (Clinical)
11175 AZUSA CT STE 110
RANCHO CUCAMONGA, CA 91730
San Bernardino County (626) 383-3520
HEALTHY AND HAPPY AMERICA HAHA CORPORATION
Psychiatry & Neurology (Psychiatry)
11175 AZUSA CT STE 110
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 329-5010
BEST LIFE COUNSELING SERVICES
Counselor (Mental Health)
11175 AZUSA CT STE 110
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 378-5894
CARE REPUBLIC CCA LLC
Case Management
11175 AZUSA CT STE 110
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 317-8207
2BME HOME CARE LLC
In Home Supportive Care
11175 AZUSA CT STE 110
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 787-6297
LOVING OUR VALOROUS ELDERLY LLC
In Home Supportive Care
11175 AZUSA CT STE 110
RANCHO CUCAMONGA, CA 91730
San Bernardino County (800) 549-1240
LAQUENTA MARZETT LONG
Marriage & Family Therapist
11175 AZUSA CT STE 110
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 987-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destiny Ballance's NPI number?

The NPI number for Destiny Ballance is 1073334959. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Destiny Ballance located?

Destiny Ballance practices at 11175 Azusa Ct Ste 110, Rancho Cucamonga, CA 91730. The listed phone number is (909) 715-9611.

What is Destiny Ballance's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Destiny Ballance was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.