JEANNETTE PONDER NPI 1356303101

NPI Information

  • NPI: 1356303101
  • Provider Name: JEANNETTE PONDER
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Address: 3152 N 24TH PL
    MILWAUKEE, WI
    ZIP 53206
  • Phone: (414) 447-1489

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NPI Details

JEANNETTE PONDER is a nursing care and pediatric skilled nursing facility in Milwaukee, WI. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. JEANNETTE PONDER NPI is 1356303101. The provider is registered as an organization entity type.

The provider's business location address is:

3152 N 24TH PL
MILWAUKEE, WI
ZIP 53206-209
Phone: (414) 447-1489

The provider's authorized official is Jeannette Ponder .
The authorized official title is Lpn Rcs and has the following contact phone number (414) 447-1489.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric11818WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139973100MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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