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MRS. HEATHER ELIZABETH POLK APRN
NPI 1053973081
Nurse Practitioner - Primary Care in Sikeston, MO

Active since June 29, 2019
200 SOUTHLAND DR, SIKESTON, MO 63801(573) 472-1770(573) 472-4050 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Heather Elizabeth Polk Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HEATHER ELIZABETH POLK APRN (NPI 1053973081) is an individual primary care provider in Sikeston, Missouri, licensed in Missouri (2019022989) and active in the NPI registry since June 2019. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053973081
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. HEATHER ELIZABETH POLKCredential: APRN
Location Address200 SOUTHLAND DRSikeston, MO 63801-4403
Mailing Address6738 State Highway 77Benton, MO 63736-8238 · (573) 313-2500 · Fax (573) 313-2500
Phone(573) 472-1770
Fax(573) 472-4050
Sole ProprietorYes
Enumeration DateJune 29, 2019
Last NPPES UpdateApril 14, 2020
NPPES CertifiedApril 14, 2020
✔ NPI 1053973081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MO · 2019022989
200 SOUTHLAND DR, Sikeston, MO 63801
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1941 Davis StNew Madrid, MO 63869-1607 · Phone (573) 521-6787
Location 2421 Semo DrNew Madrid, MO 63869-1733 · Phone (573) 748-2592 · Fax (573) 748-2673
Location 3109 E 5th StCaruthersville, MO 63830-1417 · Phone (573) 359-9803 · Fax (573) 359-0990

Other Identifiers 2

Other2019022989MO · Missouri State Board Of Nursing
Medicaid420077159MO

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE E JANSEN FNP
Nurse Practitioner (Family)
200 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 472-1770
SOUTHEAST MISSOURI HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
200 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 472-1770
DR. DANIEL DOMJAN MD
General Practice
200 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 472-1770
ALEXANDRA TOMASZEWSKI LCSW
Social Worker (Clinical)
200 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 472-1770
WILLIAM BRADLEY FNP
Nurse Practitioner (Family)
200 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 427-1770
SAMANTHA ANNE DUFFEL LCSW
Social Worker (Clinical)
200 SOUTHLAND DR
SIKESTON, MO 63801
Scott County (573) 472-1770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Polk's NPI number?

The NPI number for Heather Polk is 1053973081. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Where is Heather Polk located?

Heather Polk practices at 200 Southland Dr, Sikeston, MO 63801. The listed phone number is (573) 472-1770.

What is Heather Polk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Heather Polk was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.