Individual
JACOB MICHAEL PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5326 WEST MARKHAM STREET, LITTLE ROCK, AR 72205
(501) 603-9885
(501) 603-9898
Mailing address
8301 LEAWOOD BLVD, LITTLE ROCK, AR 72205-1616
(310) 923-5754
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004482
AR
Other
Enumeration date
07/27/2015
Last updated
07/20/2016
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