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Individual

JENI L POLK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
12176
WI
363LN0000X
Neonatal Nurse Practitioner
R 0083094
OK

Other

Enumeration date
10/30/2014
Last updated
12/01/2022
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