National Provider Identifier
Janetta Shante Ponder
Janetta Shante Ponder is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 284-6645.
Profile Overview
- NPI
- 1093012064
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 27, 2011
- Last Updated
- February 27, 2011
Practice Location
- 153 Melrose St
- Rochester, NY 14619-1803
Phone: (585) 284-6645
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1093012064
- Entity Type
- Individual
- Last Name
- Ponder
- First Name
- Janetta
- Middle Name
- Shante
- Mailing Street Address
- 153 Melrose St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-1803
- Mailing Country
- US
- Practice Street Address
- 153 Melrose St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-1803
- Practice Country
- US
- Practice Phone
- (585) 284-6645
- Enumeration Date
- February 27, 2011
- Last Updated
- February 27, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)