Individual provider · Type 1 NPI

Jennifer Olsen Polniak, R.D., C.D.E, PA-C

Physician Assistant · Columbia, MO

NPI number 1710192588 Active

Practice location

303 N Keene St Ste 301
Columbia, MO 65201-8053

Call (573) 882-8000 Map

Fax (573) 882-6600

Mailing address

PO Box 843966
Kansas City, MO 64184-3966

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000X0221025253 (MO)
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X2016024375 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1710192588

Jennifer Olsen Polniak, R.D., C.D.E, PA-C's National Provider Identifier is 1710192588, issued on May 14, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbia, MO. The record was last updated on Mar 1, 2023.