Individual provider · Type 1 NPI

Brandy Ponder, APRN

Women's Health Nurse Practitioner · Tahlequah, OK

NPI number 1689290694 Active

Practice location

19600 E Ross St
Tahlequah, OK 74464-0545

Mailing address

4913 W Reno Ave
Oklahoma City, OK 73127-6339

Other practice locations

  • 7741 E 116th St N, Collinsville, OK 74021-7164 · (918) 616-2934

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X106622 (OK)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1689290694

Brandy Ponder, APRN's National Provider Identifier is 1689290694, issued on Jun 25, 2020. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Tahlequah, OK. The record was last updated on Aug 8, 2026.