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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN RAYMOND POLAK, NP

Active

JONATHAN RAYMOND POLAK, NP is a Critical Care Nurse Practitioner healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1770435661 is currently active in the NPPES registry. Verify at CMS.

Critical Care Nurse Practitioner · FAYETTEVILLE, NC

Registration Details

NPI Number
1770435661
Provider Type
Individual
Gender
Male
NPI Issued
Feb 12, 2026 (0.52818056503342 yrs)
Last Updated
Feb 18, 2026
License
5023985 (NC)

Practice Information

Address
1638 OWEN DR
FAYETTEVILLE, NC, 283043424
Browse NC providers · Browse ZIP 28304
Phone
9106154000
Primary Specialty
Critical Care Nurse Practitioner
363LC0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.