Individual provider · Type 1 NPI

Jordan Caitlin Polk, NP

Psychiatric/Mental Health Nurse Practitioner · Evans, GA

NPI number 1194222935 Active

Practice location

607 Ponder Place Dr
Evans, GA 30809-3186

Fax (762) 208-4742

Mailing address

PO Box 3788
Columbia, SC 29230-3788

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNP001161 (GA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X21658 (SC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1194222935

Jordan Caitlin Polk, NP's National Provider Identifier is 1194222935, issued on Apr 9, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Evans, GA. The record was last updated on Feb 24, 2026.