JANETTA SHANTE PONDER
NPI 1093012064
Licensed Practical Nurse in Rochester, NY
- Individual
- Female
- Licensed Practical Nurse
About JANETTA PONDER
This page provides the complete NPI Profile along with additional information for Janetta Ponder, a provider established in Rochester, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1093012064 assigned on February 2011. The practitioner's primary taxonomy code is 164W00000X with license number 302685 (NY). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1093012064 Verify this NPI
- Provider Name
- JANETTA SHANTE PONDER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 153 MELROSE ST ROCHESTER, NY 14619
- Location Phone
- (585) 284-6645
- Mailing Address
- 153 MELROSE ST ROCHESTER, NY 14619
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-27-2011
- Last Update Date
- 02-27-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 302685
- License State
- NY
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093012064, enumerated as an "individual" on February 27, 2011.
The provider is located at 153 MELROSE ST ROCHESTER, NY 14619 and the phone number is (585) 284-6645.
Licensed Practical Nurse with taxonomy code 164W00000X.
