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DR. SHELBY B POLK DNP, APRN, FNP-BC
NPI 1912014648
Nurse Practitioner - Family in Flowood, MS

Active since August 25, 2006
1040 RIVER OAKS DR STE 302, FLOWOOD, MS 39232(601) 939-9923(601) 939-9924 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Shelby B Polk Dnp, Aprn, Fnp-bc NPPES

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

DR. SHELBY B POLK DNP, APRN, FNP-BC (NPI 1912014648) is an individual family provider in Flowood, Mississippi, licensed in Mississippi (R852951) and active in the NPI registry since August 2006. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1912014648
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SHELBY B POLKCredential: DNP, APRN, FNP-BC
Location Address1040 RIVER OAKS DR STE 302Flowood, MS 39232-9575
Mailing Address1100 College StCleveland, MS 38732-3113 · (662) 207-4913 · Fax (662) 939-9924
Phone(601) 939-9923
Fax(601) 939-9924
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 25, 2023
NPPES CertifiedJuly 25, 2023
✔ NPI 1912014648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R852951
1040 RIVER OAKS DR STE 302, Flowood, MS 39232
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12335 Highway 1 SGreenville, MS 38701-8337 · Phone (601) 398-9698 · Fax (601) 398-9698
Location 2110 E Baker StIndianola, MS 38751-2451 · Phone (601) 340-5657 · Fax (601) 340-5657
Location 3580 Friars Point RdClarksdale, MS 38614-9734 · Phone (601) 566-1224 · Fax (601) 566-1224

Other Identifiers 1

Medicaid08476778MS

Other Providers at the Same Location NPPES 3

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

VIGILANT HEALTH NETWORK, INC
Internal Medicine
1040 RIVER OAKS DR STE 302
FLOWOOD, MS 39232
Rankin County (601) 939-9923
MARIAN DONALD C-EP
Clinical Exercise Physiologist
1040 RIVER OAKS DR STE 302
FLOWOOD, MS 39232
Rankin County (800) 610-6357
DCGM, INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1040 RIVER OAKS DR STE 302
FLOWOOD, MS 39232
Rankin County (601) 613-4254

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 Shelby Polk's NPI number?

The NPI number for Shelby Polk is 1912014648. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Shelby Polk located?

Shelby Polk practices at 1040 River Oaks Dr Ste 302, Flowood, MS 39232. The listed phone number is (601) 939-9923.

What is Shelby Polk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shelby Polk was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.