DR. SHELBY B POLK


Address: 840 N Oak Ave, Ruleville, MS 38771-3227
Phone: 6627564024

DR. SHELBY B POLK (NPI# 1912014648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912014648
Entity Type Individual
Full Name DR. SHELBY B POLK
Credential DNP, FNP-BC, CDE
Practice Address 840 N Oak Ave
Ruleville
MS 38771-3227
Mailing Address 406 Bishop Rd
Apt J-104
Cleveland
MS 38732-2959
Practice Telephone 6627564024
Practice Fax Number 6627564023
Mailing Telephone 6662207491
Enumeration Date 2006-08-25
Last Update Date 2010-06-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R852951 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 08476778 05

Office Location

Street Address 840 N OAK AVE
City RULEVILLE
State MS
Zip Code 38771-3227

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699717249 Samuel Dean Seeley Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2006-06-11
1023627122 Kristen Cassidy Scott Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2020-07-24
1487271201 Lajarvis Antwon Lewis Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2020-06-26
1184275133 Kathryn Meredith James Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771 2019-09-21
1629627542 Hannah Schlatter Farmer Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2019-09-04
1386203354 Robert F Cox Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2019-06-12
1861058901 Jane Critz Long Dietitian, Registered 840 N Oak Ave, Ruleville, MS 38771-3227 2019-05-14
1396208708 Ambroshia Hope Registered Nurse 840 N Oak Ave, Ruleville, MS 38771-3227 2019-04-11
1013489756 Cody Elizabeth Field Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2018-12-19
1649765223 Nikita Marie Calvin Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2018-06-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881001501 North Sunflower Medical Center Pharmacy 860 N Oak Ave, Ruleville, MS 38771 2014-07-15
1548581184 North Sunflower Medical Center Clinic/Center 101 Floyce St., Ruleville, MS 38771 2010-06-17
1649442484 Brooks Marlow Rizzo Nurse Practitioner 840a N. Oak Ave., Ruleville, MS 38771 2008-04-01
1427189570 St. Johns Hospice of Mississippi, Inc. Hospice, Inpatient 106 Ruby Avenue, Ruleville, MS 38771 2007-03-08
1962444018 Sandanna Hospice, Inc. Hospice Care, Community Based 105 Floyce Street, Ruleville, MS 38771-0365 2006-06-12
1376612895 North Sunflower Medical Center Durable Medical Equipment & Medical Supplies 820 N Oak Ave, Ruleville, MS 38771-3215 2006-11-07
1548710510 North Sunflower Medical Center Clinic/Center 860 N Oak Ave, Ruleville, MS 38771-3227 2016-10-13
1255405205 Ruleville Nursing and Rehabiliation Center, LLC Skilled Nursing Facility 800 Stansel Dr, Ruleville, MS 38771-3320 2006-11-20
1003280702 Leah Cori Gregory-johnson Speech-Language Pathologist 800 Stansel Dr, Ruleville, MS 38771-3320 2015-11-18
1124498340 Tajda Cooper Occupational Therapist 800 Stansel Dr, Ruleville, MS 38771-3320 2015-09-30
Find all providers in zip 38771

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649442484 Brooks Marlow Rizzo Nurse Practitioner 840a N. Oak Ave., Ruleville, MS 38771 2008-04-01
1699717249 Samuel Dean Seeley Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2006-06-11
1023627122 Kristen Cassidy Scott Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2020-07-24
1487271201 Lajarvis Antwon Lewis Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2020-06-26
1629627542 Hannah Schlatter Farmer Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2019-09-04
1013489756 Cody Elizabeth Field Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2018-12-19
1447788609 Heidi Marie Compton Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2017-05-31
1477941870 Angela Denise Gibson Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2015-01-07
1346654415 Natalie Roberts Dozier Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2014-06-17
1861833477 Thomas V. Scott Jr. Nurse Practitioner 840 N Oak Ave, Ruleville, MS 38771-3227 2013-07-11
Find all providers in RULEVILLE

Competitor

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City RULEVILLE
Zip Code 38771

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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