JACKIE POLGE FNP
NPI 1578614269
Nurse Practitioner - Family in Stuart, FL

Q: What is Jackie Polge's NPI number?

The NPI number for Jackie Polge is 1578614269. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Jackie Polge'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 Jackie Polge was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 January 16, 2007

936 SW BALMORAL TRCE, STUART, FL 34997(772) 349-5737 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackie Polge Fnp NPPES

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

JACKIE POLGE FNP (NPI 1578614269) is an individual family provider in Stuart, Florida, licensed in Florida (9367097) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1578614269

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACKIE POLGECredential: FNP

Location Address936 SW BALMORAL TRCEStuart, FL 34997-4203

Mailing Address936 Sw Balmoral TrceStuart, FL 34997-4203 · (772) 349-5737

Phone(772) 349-5737

Sole ProprietorNo

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJuly 15, 2016

✔ NPI 1578614269 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

Licenses✔ Licensed in FL · 9367097✔ Licensed in NY · 331180

936 SW BALMORAL TRCE, Stuart, FL 34997

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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 Jackie Polge's NPI number?

The NPI number for Jackie Polge is 1578614269. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Jackie Polge located?

Jackie Polge practices at 936 SW Balmoral Trce, Stuart, FL 34997. The listed phone number is (772) 349-5737.

What is Jackie Polge'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 Jackie Polge was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.