Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin A Ponder

Individual provider Licensed Practical Nurse · NPI 1861255671

Justin A Ponder is a Licensed Practical Nurse in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

1233 Latta Rd Apt 5
Rochester, NY 14612-4041
Phone: (585) 851-4828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 345860 (NY)

Record details

NPI number1861255671
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 3, 2024

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