National Provider Identifier
Justin A Ponder
Justin A 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) 851-4828.
Profile Overview
- NPI
- 1861255671
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- February 05, 2024
- Last Updated
- February 05, 2024
Practice Location
- 1233 Latta RD Apt 5
- Rochester, NY 14612-4041
Phone: (585) 851-4828
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1861255671
- Entity Type
- Individual
- Last Name
- Ponder
- First Name
- Justin
- Middle Name
- A
- Mailing Street Address
- 1233 Latta RD Apt 5
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-4041
- Mailing Country
- US
- Mailing Phone
- (585) 851-4828
- Practice Street Address
- 1233 Latta RD Apt 5
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-4041
- Practice Country
- US
- Practice Phone
- (585) 851-4828
- Enumeration Date
- February 05, 2024
- Last Updated
- February 05, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)