MS. JENNIE PETURAL RUFFIN POLK R.N. NPI 1730352311

NPI Information

NPI: 1730352311
Provider Name: MS. JENNIE PETURAL RUFFIN POLK, R.N.
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
DEPARTMENT OF PREVENTIVE MEDICINE WAMC STOP A
2817 REILLY RD. MCXC-DPM
FORT BRAGG, NC
ZIP 28310
Phone: (910) 396-7410
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MS. Jennie Petural Ruffin Polk, R.N. is a community health registered nurse in Fort Bragg, NC. MS. Jennie Petural Ruffin Polk, R.N. NPI is 1730352311. 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:

DEPARTMENT OF PREVENTIVE MEDICINE WAMC STOP A
2817 REILLY RD. MCXC-DPM
FORT BRAGG, NC
ZIP 28310-301
Phone: (910) 396-7410
Fax: (910) 396-8196

The enumeration date for this NPI number is 4/4/2008 and was last updated on 4/4/2008.

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
1	163WC1500X	Registered Nurse	Community Health	RN085179	LOUISIANA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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