JILL NORENE POLMATEER N.P. NPI 1730157652

NPI Information

NPI: 1730157652
Provider Name: JILL NORENE POLMATEER, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1104 CASS ST
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 941-1155
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Jill Norene Polmateer, N.P. is a family nurse practitioner in Traverse City, MI. Jill Norene Polmateer, N.P. NPI is 1730157652. 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:

1104 CASS ST
TRAVERSE CITY, MI
ZIP 49684-236
Phone: (231) 941-1155
Fax: (231) 941-1347

The enumeration date for this NPI number is 3/8/2006 and was last updated on 9/30/2016.

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	363LF0000X	Nurse Practitioner	Family	4704155176	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5008700740	OTHER	MICHIGAN	BCBS
2	S77848	MEDICARE UPIN	MICHIGAN
3	4163111	MEDICAID	MICHIGAN

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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