IndividualActive
Heather Polk, APRN
NPI 1053973081 · Primary Care Nurse Practitioner · Sikeston, MO
Provider details
- NPI number
- 1053973081
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2019022989 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 Southland Dr
Sikeston, MO 63801-4403
Phone: (573) 472-1770
Fax: (573) 472-4050
Approximate (ZIP-level) locationGet directions
Mailing address
6738 State Highway 77
Benton, MO 63736-8238
Additional practice locations (3)
- 109 E 5th StCaruthersville, MO 63830-1417Phone: (573) 359-9803Fax: (573) 359-0990
- 941 Davis StNew Madrid, MO 63869-1607Phone: (573) 521-6787
- 421 Semo DrNew Madrid, MO 63869-1733Phone: (573) 748-2592Fax: (573) 748-2673
Registry dates
- Enumerated
- 2019-06-29
- Last updated
- 2020-04-14
- Certified
- 2020-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.