Jeni Polk
Nurse Practitioner - Neonatal
1120 S Utica Ave Suite 2123
Tulsa
, Oklahoma 74104-4012
Jeni Polk
Nurse Practitioner - Neonatal
1120 S Utica Ave Suite 2123
Tulsa
, Oklahoma 74104-4012
(918) 579-5404
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Jeni Polk
- 1120 S Utica Ave Suite 2123
- Tulsa, OK
- Zip : 74104-4012
- Fax : (918) 579-5404
- Phone : (918) 579-5402
Second Address
- Jeni Polk
- 1120 S Utica Ave Suite 2123
- Tulsa, OK
- Zip : 74104-4012
- Fax : (918) 579-5404
- Phone : (918) 579-5402
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | R 0083094 | OK |
National Provider Identifier
| NPI | 1144625385 |
|---|---|
| Provider Name | Jeni Polk |
| First Address | Tulsa, OK 74104-4012 |
| Second Address | Tulsa, OK 74104-4012 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/10/2014 |
| Last Update Date | 30/10/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.