Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jillian A. Polonchak, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1942850888

Jillian A. Polonchak, AGACNP-BC is a Nurse Practitioner in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with Johns Hopkins University, a 2,855-clinician group and works from 2 locations. Licensed in California and Maryland.

Years since qualifying
7
Licensed in
CA, MD
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1520 San Pablo St Ste 3000
Los Angeles, CA 90033-5315
Phone: (323) 442-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Orleans St, Baltimore, MD 21287-0010 — (410) 955-8893

Specialties & licences

Critical Care Medicine (Anesthesiology) Physician (primary) Taxonomy 207LC0200X · Licence R256994 (MD)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence NP95012773 (CA)

Record details

NPI number1942850888
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 12, 2019
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Johns Hopkins University — 2855 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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