Provider Demographics
NPI:1467647644
Name:INMAN POND, TERESA (NNP)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:
Last Name:INMAN POND
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 HYDENWOOD CRESCENT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-1811
Mailing Address - Country:US
Mailing Address - Phone:757-567-4880
Mailing Address - Fax:757-261-6444
Practice Address - Street 1:830 KEMPSVILLE ROAD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3920
Practice Address - Country:US
Practice Address - Phone:757-261-6057
Practice Address - Fax:757-261-6444
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024072671363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal