Individual
MRS. SAKETA MCENTEE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2090 HIGHWAY 61 NORTH, PORT GIBSON, MS 39150
(601) 437-8185
(601) 437-4888
Mailing address
1701 WHITE STREET, MCCOMB, MS 39648
(601) 249-4235
(601) 249-4234
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
905733
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1145290
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11030990
FL
Other
Enumeration date
01/09/2023
Last updated
06/03/2024
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