Individual
JORDAN FAITH POLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17064
WI
363LF0000X
Family Nurse Practitioner
17064-33
WI
Other
Enumeration date
07/10/2025
Last updated
11/06/2025
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