Individual
DR. SHELBY B POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
1040 RIVER OAKS DR STE 302, FLOWOOD, MS 39232-9575
(601) 939-9923
(601) 939-9924
Mailing address
1100 COLLEGE ST, CLEVELAND, MS 38732-3113
(662) 207-4913
(662) 939-9924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R852951
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08476778
—
MS
Enumeration date
08/25/2006
Last updated
07/25/2023
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