| Joanne Pond, FNP-C | |
|
1547 Midway Ave, Ammon, ID 83406-6912 | |
| (209) 872-0707 | |
| Not Available |
| Full Name | Joanne Pond |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1547 Midway Ave, Ammon, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134933450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9771645 (Idaho) | Primary |
| Entity Name | Root Cause Integrative Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447718853 PECOS PAC ID: 2062753098 Enrollment ID: O20190401001206 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Pond, FNP-C 3876 Tawzer Way, Ammon, ID 83406-4944 Ph: (209) 872-0707 | Joanne Pond, FNP-C 1547 Midway Ave, Ammon, ID 83406-6912 Ph: (209) 872-0707 |
Jayde Barnes, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 Fax: 208-346-7501 | |
Susannah Hancock, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1189 Red Robin Ave, Ammon, ID 83401 Phone: 619-602-4520 | |
Christopher James Jankowski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 | |
Nicole Boyle, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-757-3973 | |
Colton Jeffery Phelps, MSN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Michelle Norman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7501 |