LISA ANN POLK
NPI 1235714635
Nurse Practitioner - Family in Mount Royal, NJ

Q: What is Lisa Polk's NPI number?

The NPI number for Lisa Polk is 1235714635. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Q: What is Lisa Polk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Polk was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 17, 2021

134 EVERGREEN CT, MOUNT ROYAL, NJ 08061(856) 516-3844 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Ann Polk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN POLK (NPI 1235714635) is an individual family provider in Mount Royal, New Jersey, licensed in New Jersey (26NJ01117300) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1235714635

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA ANN POLK

Location Address134 EVERGREEN CTMount Royal, NJ 08061-1128

Mailing Address134 Evergreen CtMount Royal, NJ 08061-1128 · (856) 516-3844

Phone(856) 516-3844

Sole ProprietorNo

Enumeration DateMarch 17, 2021

NPPES CertifiedMarch 17, 2021

✔ NPI 1235714635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ01117300

134 EVERGREEN CT, Mount Royal, NJ 08061

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Polk's NPI number?

The NPI number for Lisa Polk is 1235714635. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Where is Lisa Polk located?

Lisa Polk practices at 134 Evergreen Ct, Mount Royal, NJ 08061. The listed phone number is (856) 516-3844.

What is Lisa Polk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Polk was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.