Individual provider · Type 1 NPI

Amillia Polk, LPN

Licensed Practical Nurse · O Fallon, IL

NPI number 1326960436 Active

Practice location

810 White Oak Dr Apt 5
O Fallon, IL 62269-1155

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043137071 (IL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1326960436

Amillia Polk, LPN's National Provider Identifier is 1326960436, issued on Jul 29, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in O Fallon, IL. The record was last updated on Jul 29, 2026.