Individual provider · Type 1 NPI

Haley Jo Ponder, PA-C

Surgical Physician Assistant · Springfield, MO

NPI number 1760955199 Active

Practice location

3801 S National Ave
Springfield, MO 65807-5210

Call (417) 269-9812 Map

Fax (417) 269-9853

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice locations

  • 525 Branson Landing Blvd, Branson, MO 65616-2052 · (417) 335-7000
  • 3800 S National Ave Ste 600, Springfield, MO 65807-5249 · (417) 875-3000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1760955199

Haley Jo Ponder, PA-C's National Provider Identifier is 1760955199, issued on Jan 8, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, MO. The record was last updated on Aug 13, 2026.