Individual
LAUREN CAROLINE PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD STE 305&311, JACKSONVILLE, FL 32258-5468
(904) 260-2255
(855) 618-2164
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9471430
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN11039306
FL
Other
Enumeration date
03/01/2024
Last updated
06/11/2025
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