Mrs Jackie Polk, LPN - Licensed Practical Nurse in Winter Haven, FL

Mrs Jackie Polk, LPN is a Licensed Practical Nurse based in Winter Haven, Florida. Mrs Jackie Polk is licensed to practice in Florida (license number PN340111) and her current practice location is 1201 1st St S, Winter Haven, Florida. She can be reached at her office (for appointments etc.) via phone at (863) 297-1702.

NPI number for Mrs Jackie Polk is 1922256437 and her current mailing address is 1201 1st St S, Winter Haven, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922256437.

Contact Information

Mrs Jackie Polk, LPN
1201 1st St S,
Winter Haven, FL 33880-3904
(863) 297-1702
(863) 291-6755



Provider's Profile

Full NameMrs Jackie Polk
GenderFemale
SpecialityLicensed Practical Nurse
Location1201 1st St S, Winter Haven, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922256437
  • Provider Enumeration Date: 09/09/2008
  • Last Update Date: 09/09/2008

Medical Identifiers

Medical identifiers for Mrs Jackie Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922256437NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN340111 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jackie Polk is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jackie Polk, LPN
1201 1st St S,
Winter Haven, FL 33880-3904

Ph: (863) 297-1702
Mrs Jackie Polk, LPN
1201 1st St S,
Winter Haven, FL 33880-3904

Ph: (863) 297-1702

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› Verified 6 days ago


Licensed Practical Nurse Nurses in Winter Haven, FL

Dale Hage, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1201 1st St S, Winter Haven, FL 33880
Phone: 863-294-7062    Fax: 863-291-5912
Ms. Teresa Rene' Pierce, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1201 1st St S, Winter Haven, FL 33880
Phone: 863-297-1702    Fax: 863-291-6753
Lorine Pickering, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1201 1st St S, Winter Haven, FL 33880
Phone: 863-294-7062    
Miss Amber Kay Westall, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1201 First Street South, Winter Haven, FL 33880
Phone: 863-297-1702    Fax: 863-291-6084
Carol Ann Brown, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1201 1st St S, Winter Haven, FL 33880
Phone: 863-294-7062    Fax: 863-291-6753
Ebony Michelle Butler,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2401 2nd St Nw Apt 70, Winter Haven, FL 33881
Phone: 407-319-8694    
Maria Esposito, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1201 1st St S, Winter Haven, FL 33880
Phone: 863-291-1702    

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