Polge, Jackie

Polge, Jackie is an individual health care provider with primary practice located at 936 Sw Balmoral Trce , Stuart FL 34997-4203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Polge, Jackie can be contacted via phone (772) 349-5737.

Contact Information

Primary practice address
936 Sw Balmoral Trce Stuart FL 34997-4203
Phone: (772) 349-5737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9367097 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331180 New York

Profile Details

NPI number 1578614269
LBN Legal business name Polge, Jackie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 15th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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