Colby Ponder
Nurse Practitioner - Psychiatric/Mental Health
2434 S Eason Blvd
Tupelo
, Mississippi 38804-6942
Colby Ponder
Nurse Practitioner - Psychiatric/Mental Health
2434 S Eason Blvd
Tupelo
, Mississippi 38804-6942
(662) 680-6416
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Colby Ponder
- 2434 S Eason Blvd
- Tupelo, MS
- Zip : 38804-6942
- Fax : (662) 680-6416
- Phone : (662) 640-4595
Second Address
- Colby Ponder
- 2434 S Eason Blvd
- Tupelo, MS
- Zip : 38804-6942
- Fax : (662) 680-6416
- Phone : (662) 640-4595
Reviews
FAQs
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What type of doctor is Colby Ponder
In what state does Colby Ponder practice in?
Where is Colby Ponder ’s practice located?
What is Colby Ponder ’s gender?
Is Colby Ponder a sole practitioner?
Is Colby Ponder accepting new patients?
What languages does Colby Ponder speak?
Does Colby Ponder accept insurance?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 903137 | MS |
National Provider Identifier
| NPI | 1023572294 |
|---|---|
| Provider Name | Colby Ponder |
| First Address | Tupelo, MS 38804-6942 |
| Second Address | Tupelo, MS 38804-6942 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2019 |
| Last Update Date | 05/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00018203 | (05) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.