MEDICARE: JACOB MICHAEL PONDER APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	A004482	AR

General Provider Information

NPI Number	:	1225413693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB MICHAEL PONDER APRN

Provider Business Mailing Address
First Line	:	8301 LEAWOOD BLVD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-1616
Country	:	US
Telephone Number	:	310-923-5754
Fax Number	:

Provider Business Practice Location Address
First Line	:	5326 WEST MARKHAM STREET
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205
Country	:	US
Telephone Number	:	501-603-9885
Fax Number	:	501-603-9898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2015
Last Update Date	:	07/20/2016

Similar Medicare Providers

1366805715 — KASA BLAINE PUGH M.D.
Practice Location Address:

801 COTTAGE DR
LITTLE ROCK, AR
72205-5400

Practice Phone: 501-686-6067
Practice Fax: 501-296-1091

1093173643 — MR. RAYMOND FORREST GALLOWAY JR. A.P.R.N.
Practice Location Address:

8901 CARTI WAY
LITTLE ROCK, AR
72205-6523

Practice Phone: 501-906-3000
Practice Fax: 501-907-8367

1750382750 — ODYSSEY HEALTHCARE OPERATING A LP
Practice Location Address:

301 NATURAL RESOURCES DR STE 102
LITTLE ROCK, AR
72205-1417

Practice Phone: 501-223-8868
Practice Fax: 501-223-8623

1528999018 — DR. ANDREAS NICHOLAS CHRISTY
Practice Location Address:

4301 W MARKHAM ST
LITTLE ROCK, AR
72205-7101

Practice Phone: 501-686-6627
Practice Fax:

1316878812 — HANNAH FITTS
Practice Location Address:

9601 BAPTIST HEALTH DR
LITTLE ROCK, AR
72205-6321

Practice Phone: 501-224-1135
Practice Fax:

1457282964 — PRANAV PATEL
Practice Location Address:

4301 W MARKHAM ST # 520
LITTLE ROCK, AR
72205-7199

Practice Phone: 501-686-5205
Practice Fax:

1558002402 — DR. AUSTIN TAYLOR NOLAN MD
Practice Location Address:

4301 W MARKHAM ST # 515
LITTLE ROCK, AR
72205-7101

Practice Phone: 501-603-1656
Practice Fax:

Directions to “ JACOB MICHAEL PONDER APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.