Individual provider · Type 1 NPI
Jordan Faith Polley, FNP-C
Nurse Practitioner · Appleton, WI
Practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 17064 (WI) |
| Family Nurse Practitioner | 363LF0000X | 17064-33 (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…
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About NPI 1750272597
Jordan Faith Polley, FNP-C's National Provider Identifier is 1750272597, issued on Jul 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Appleton, WI. The record was last updated on Nov 6, 2025.