Individual provider · Type 1 NPI
Jennifer Gayle Polacek, APNP-BC
Nurse Practitioner · Athens, WI
Practice location
729 Pine St
Athens, WI 54411-9305
Mailing address
W1692 Fawn Ave
Rib Lake, WI 54470-9615
Other practice locations
- W1692 Fawn Ave, Rib Lake, WI 54470-9615 · (715) 560-0193
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11270-33 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
About NPI 1508535360
Jennifer Gayle Polacek, APNP-BC's National Provider Identifier is 1508535360, issued on Sep 7, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Athens, WI. The record was last updated on Sep 7, 2021.