Polk, Shelby B
Polk, Shelby B is an individual health care provider with primary practice located at 1040 River Oaks Dr Ste 302 , Flowood MS 39232-9575. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Polk, Shelby B can be contacted via phone (601) 939-9923.Contact Information
Primary practice address
1040 River Oaks Dr Ste 302
Flowood MS 39232-9575
Phone: (601) 939-9923
Fax: (601) 939-9924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R852951 | Mississippi |
Profile Details
| NPI number | 1912014648 |
|---|---|
| LBN Legal business name | Polk, Shelby B |
| Credentials | DNP, APRN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jul 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912014648 | NPPES |
| Mississippi | MEDICAID | 08476778 |
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