Individual
JESSI ANN POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1542 16TH ST W STE 300, WILLISTON, ND 58801-3888
(701) 572-2470
Mailing address
PO BOX 334, ROZET, WY 82727-0334
(701) 290-2871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52887
WY
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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