Ponder, Alicia Nichole

Ponder, Alicia Nichole is an individual health care provider with primary practice located at 5979 Desert Storm Ave , Fort Campbell KY 42223-5514. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Ponder, Alicia Nichole can be contacted via phone (082) 273-5348.

Contact Information

Primary practice address
5979 Desert Storm Ave Fort Campbell KY 42223-5514
Phone: (082) 273-5348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1396371035
LBN Legal business name Ponder, Alicia Nichole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2020
Last updated Jun 24th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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