Individual
MS. MARY CLAIRE PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
151 E METRO DR STE 103, FLOWOOD, MS 39232
(601) 992-3288
(601) 992-3188
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901707
MS
Other
Enumeration date
11/28/2016
Last updated
08/30/2019
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