MEDICARE: JESSICA LYNN POLLEY MSN FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	28270543A	IN

General Provider Information

NPI Number	:	1891651915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN POLLEY MSN FNP-C

Provider Business Mailing Address
First Line	:	4882 OAKTON WAY
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-8375
Country	:	US
Telephone Number	:	317-653-0190
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 E SOUTHPORT RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-8590
Country	:	US
Telephone Number	:	317-781-7370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	03/06/2026

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