Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tamatha Polk-Henderson

Individual provider Case Manager/Care Coordinator · NPI 1164134789

Tamatha Polk-Henderson is a Case Manager/Care Coordinator in Vicksburg, Mississippi. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1905 Mission 66
Vicksburg, MS 39180-3711
Phone: (601) 758-5820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1164134789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 14, 2022
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022

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