Individual
JAN SHERLENE POLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8 EAST MADISON ST, HOUSTON, MS 38851
(662) 456-4288
Mailing address
4213 WALLFIELD RD, HOULKA, MS 38850-9377
(662) 419-0236
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902031
MS
Other
Enumeration date
06/02/2017
Last updated
06/27/2022
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