Lisa A Polk
Nurse Practitioner, Family in Mount Royal, New Jersey
1235714635- Practice location
- 134 Evergreen CT, Mount Royal, NJ 08061-1128
- Phone
- 856-516-3844
- Fax
- —
- Last updated
- March 17, 2021
Lisa Ann Polk is a Nurse Practitioner, Family based in Mount Royal, NJ. Lisa Ann Polk practices in Mount Royal, NJ. The NPI Number for Lisa Ann Polk is 1235714635 and holds a License No. 26NJ01117300 (NJ). The current practice location address for Lisa Ann Polk is 134 Evergreen CT, Mount Royal, NJ 08061-1128 and can be reached out via phone at 856-516-3844.
Provider Profile Details
- NPI Number
- 1235714635
- Provider Name
- Lisa Ann Polk
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 134 Evergreen CT, Mount Royal, NJ 08061-1128
- Phone Number
- 856-516-3844
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 17, 2021
- Last Update Date
- March 17, 2021
- Certification Date
- March 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 134 Evergreen CT
Mount Royal, NJ 08061-1128 - City
- Mount Royal
- State
- New Jersey
- Zip
- 08061-1128
- Phone Number
- 856-516-3844
Provider Business Mailing Address Details
- Address
- 134 Evergreen CT
Mount Royal, NJ 08061-1128 - City
- Mount Royal
- State
- NJ
- Zip
- 08061-1128
- Phone Number
- 856-516-3844
License Information
- License Number
- 26NJ01117300
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lisa A Polk?
The NPI number of Lisa A Polk is 1235714635. It was assigned on March 17, 2021 and is currently active in the NPPES registry.
What is the specialty of Lisa A Polk?
Lisa A Polk is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01117300.
Where does Lisa A Polk practice?
The practice location is 134 Evergreen CT, Mount Royal, NJ 08061-1128. The office can be reached at 856-516-3844 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235714635 directly on the NPPES registry website.