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General NPI Number Information
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NPI Number | 1104122803
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Entity Type | Individual
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Provider Name | LINDSEY JANE PONWITH APRN
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Gender | Female
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Dates
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Enumeration Date | 01/28/2011
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 8114 CANTRELL RD STE 201
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City | LITTLE ROCK
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State | AR
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Zip | 72227-2421
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Country | US
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Telephone | 501-779-8554
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Fax | 501-222-8034
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Provider Business Mailing Address
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Address Line | 8114 CANTRELL RD STE 201
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City | LITTLE ROCK
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State | AR
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Zip | 72227-2421
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Country | US
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Telephone | 501-779-8554
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Fax | 501-222-8034
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A03477
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A003477
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 282083
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License Number State | AZ
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