SHELLY ROARK, NURSE PRACTITIONER

Nurse Practitioner - Women's Health

Active Individual
NPI: 1083170559

Practice Address

5003 HARDY ST STE 350
Hattiesburg, MS 39402

Phone: (601) 268-9393

Specialties

Specialty Code Primary License
Nurse Practitioner - Community Health 363LC1500X No 902947 (MS)
Nurse Practitioner - Women's Health 363LW0102X Yes 902947 (MS)

Frequently Asked Questions

NPI 1083170559 is the National Provider Identifier for SHELLY ROARK, NURSE PRACTITIONER, a Nurse Practitioner - Women's Health provider located in Hattiesburg, MS. This NPI was enumerated on February 20, 2019.
SHELLY ROARK, NURSE PRACTITIONER practices at 5003 HARDY ST STE 350, Hattiesburg, MS 39402.

Quick Facts

NPI
1083170559
Type
Individual
Enumerated
Feb 20, 2019
Last Updated
Feb 24, 2025

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