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
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 106622 (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.