MS. JACQUELINE ELYSE POLLOCK CRNP NPI 1568235414

NPI Information

  • NPI: 1568235414
  • Provider Name: MS. JACQUELINE ELYSE POLLOCK, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 SOUTH 11TH ST
    GIBBON BUILDING, SUITE G6210
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 955-8304

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NPI Details

MS. Jacqueline Elyse Pollock, CRNP is a family nurse practitioner in Philadelphia, PA with 3 years of experience. MS. Jacqueline Elyse Pollock, CRNP NPI is 1568235414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 SOUTH 11TH ST
GIBBON BUILDING, SUITE G6210
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-8304

The NPI 1568235414 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2023 and was last updated on 11/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilySP028556PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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