Individual provider · Type 1 NPI
Jessica Polk
Adult Health Nurse Practitioner · Lakeland, FL
NPI number
1679092050
Active
Practice location
130 Pablo St
Lakeland, FL 33803-3818
Fax (863) 284-5912
Mailing address
1324 Lakeland Hills Blvd, Attn: Managed Care Dept.
Lakeland, FL 33805-4543
Other practice locations
- 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 · (863) 687-1100
- 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 · (863) 687-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | ARNP9293649 (FL) |
| Cardiovascular Disease Physician | 207RC0000X | 9293649 (FL) |
Adult Health Nurse Practitioner: Definition to come...
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- Laurie Pomella, APRNAdult Health Nurse Practitioner Lakeland, FL NPI 1124576368
About NPI 1679092050
Jessica Polk's National Provider Identifier is 1679092050, issued on Sep 16, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lakeland, FL. The record was last updated on Jul 20, 2022.