Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Raymond Polak, NP

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1770435661

Jonathan Raymond Polak, NP is a Critical Care Medicine Nurse Practitioner in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone: (910) 615-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence 5023985 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5023985 (NC)

Record details

NPI number1770435661
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 12, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026