Joleen Mae Parker, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201704536RN Issued in OR

Practice address

424 NE 22ND Ave
Portland, OR 97232-2809

Phone

(503) 239-8101

NPI assigned

Aug 18, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Joleen Mae Polcyn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851817035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 NE 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322809",
            "telephone_number": "503-239-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 NE 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322809",
            "telephone_number": "503-239-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JOLEEN",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201704536RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLEEN",
            "last_name": "POLCYN",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Parker, LCSW
• Jason Parker, CRM
• Jennifer M Parker, PT, DPT, MOT, OTR
• Jess Noel Parker, LMT
• Jesse Parker
• Jorjan J Parker, LCSW
• Karen Christine Parker, C.N.M
• Kea A Parker, MD
• Kellee Nicole Parker, D.O.
• Kirk Joseph Parker, OD

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.