Polk, Jo Lynn

Polk, Jo Lynn is an individual health care provider with primary practice located at 4798 Mcwillie Dr Suite C, Jackson MS 39206-5608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Polk, Jo Lynn can be contacted via phone (601) 362-7649.

Contact Information

Primary practice address
4798 Mcwillie Dr Suite C Jackson MS 39206-5608
Phone: (601) 362-7649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 08790 Mississippi

Profile Details

NPI number 1487664173
LBN Legal business name Polk, Jo Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487664173 NPPES
Mississippi MEDICAID 08852201

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