Individual
ELAINA PONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1506 U.S. 278 SUITE A, AMORY, MS 38821
(662) 305-9149
Mailing address
50018 SIMS LN, AMORY, MS 38821-8859
(662) 315-5612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902890
MS
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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