Individual provider · Type 1 NPI

Venkata Jaswitha Sree Ponnapalli, M.B.B.S

Student in an Organized Health Care Education/Training Program · Boonton, NJ

NPI number 1114863305 Active

Practice location

Saint Clare's Behavioral Health, 130 Powerville Road, Boonton, New Jersey
Boonton, NJ 07005

Call (973) 316-1955 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114863305

Venkata Jaswitha Sree Ponnapalli, M.B.B.S's National Provider Identifier is 1114863305, issued on Apr 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boonton, NJ. The record was last updated on Apr 28, 2026.