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MRS. JACKIE POLK LPN
NPI 1922256437
Licensed Practical Nurse in Winter Haven, FL

Active since September 09, 2008
1201 1ST ST S, WINTER HAVEN, FL 33880(863) 297-1702(863) 291-6755 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jackie Polk Lpn NPPES

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

MRS. JACKIE POLK LPN (NPI 1922256437) is an individual licensed practical nurse in Winter Haven, Florida, licensed in Florida (PN340111) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1922256437
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JACKIE POLKCredential: LPN
Location Address1201 1ST ST SWinter Haven, FL 33880-3904
Mailing Address1201 1st St SWinter Haven, FL 33880-3904 · (863) 297-1702 · Fax (863) 291-6755
Phone(863) 297-1702
Fax(863) 291-6755
Sole ProprietorYes
Enumeration DateSeptember 9, 2008
✔ NPI 1922256437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · PN340111
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1201 1ST ST S, Winter Haven, FL 33880
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ERIN ALETA SWAILS B.S.
Case Manager/Care Coordinator
1201 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 293-1121
MS. CLAIRE RICE LCSW
Social Worker (Clinical)
1201 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 294-7062
TERESA L EVEN LMHC
Counselor
1201 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 294-7062
YONNAR CRUZ MS, LMHC, CAP
Counselor (Mental Health)
1201 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 294-7062
MARSIA EMANUEL
Community Health Worker
1201 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 297-1702
THERESA D MIXON MS
Case Manager/Care Coordinator
1201 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 293-1121
MS. CANISHA SHANARA GILLON PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1201 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 294-7062
GERALD GATLIN LMHC
Counselor (Mental Health)
1201 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 797-6680

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 Polk's NPI number?

The NPI number for Jackie Polk is 1922256437. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Jackie Polk located?

Jackie Polk practices at 1201 1st St S, Winter Haven, FL 33880. The listed phone number is (863) 297-1702.

What is Jackie Polk's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jackie Polk was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.