Shelly Gunnell Roark, NURSE PRACTITIONER
NPI #1083170559 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1083170559
- Entity Type
- Individual
- Name
- Shelly Gunnell Roark, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Women's Health
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Feb 20, 2019
- Last Updated
- Feb 24, 2025
Practice Location
- Address
- 5003 HARDY ST STE 350
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-1323
- Phone
- (601) 268-9393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Community Health — Community Health |
| Nurse Practitioner - Women's Health — Women's Health |
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