Individual
BROOK LEANN PONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1612 E COUNTY LINE RD, RIDGELAND, MS 39157-1906
(931) 253-1110
Mailing address
1612 E COUNTY LINE RD, RIDGELAND, MS 39157-1906
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906153
MS
Other
Enumeration date
08/14/2023
Last updated
10/29/2025
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