MRS. Jackie Polk, LPN

NPI #1922256437 in Winter Haven, Florida

Provider Information

NPI Number
1922256437
Entity Type
Individual
Name
MRS. Jackie Polk, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Sep 9, 2008
Last Updated
Sep 9, 2008

Practice Location

Address
1201 1ST ST S
State
Florida
ZIP Code
33880-3904
Phone
(863) 297-1702

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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