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Contact Information

JAN S POLEY, FNP
8 EAST MADISON ST
HOUSTON, MS38851
 Phone: 662-456-4288
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JAN S POLEY · (Female)

NPI Number 1073041042
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 06/02/2017
Last updated 06/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 902031
Hospital affiliation(s)
  • TRACE REGIONAL HOSPITAL AND SWING BED - (Acute Care)
    1002 EAST MADISON STREET
    HOUSTON, MS 38851
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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