Polk, Heather Ilana

Polk, Heather Ilana is an individual health care provider with primary practice located at 120 Suburban Rd Ste 203 , Knoxville TN 37923-5592. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Polk, Heather Ilana can be contacted via phone (865) 690-1464.

Contact Information

Primary practice address
120 Suburban Rd Ste 203 Knoxville TN 37923-5592
Phone: (865) 690-1464
Fax: (877) 926-0521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 18314 Tennessee

Profile Details

NPI number 1831514488
LBN Legal business name Polk, Heather Ilana
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2014
Last updated May 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831514488 NPPES
Tennessee MEDICAID Q009822

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