Individual provider · Type 1 NPI

Lori Ponder, CRNP

Family Nurse Practitioner · Rome, GA

NPI number 1235110263 Active

Practice location

15 Riverbend Dr SW, Ste 100
Rome, GA 30161-6065

Fax (706) 378-8267

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X1-089350 (AL)
Family Nurse Practitioner Primary 363LF0000XRN147727 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1235110263

Lori Ponder, CRNP's National Provider Identifier is 1235110263, issued on Nov 8, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rome, GA. The record was last updated on Sep 6, 2011.