Individual
JOANN MARIE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
2501 CAPEHART RD, BELLEVUE, NE 68123
(402) 294-9426
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7600
(618) 256-7619
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0024170055
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0001222851
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093071961
NPI
MN
01
—
1093071961
NPI
—
Enumeration date
04/05/2012
Last updated
10/16/2020
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