Individual provider · Type 1 NPI

Kacie Wilkes Polacek

Family Nurse Practitioner · Chattanooga, TN

NPI number 1740685684 Active

Practice location

910 Blackford St, Suite 102
Chattanooga, TN 37403-1405

Fax (423) 778-4232

Mailing address

975 E 3rd St, Attn: Provider Enrollment
Chattanooga, TN 37403-2147

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPN19732 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1740685684

Kacie Wilkes Polacek's National Provider Identifier is 1740685684, issued on Nov 4, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chattanooga, TN. The record was last updated on Jul 20, 2021.