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Search › Mississippi › 363LW0102X

Shelly Roark, NURSE PRACTITIONER

NPI 1083170559 · on the registry since 2019

Practice

Address
5003 Hardy St Ste 350
Hattiesburg, MS 39402
Phone
(601) 268-9393
Fax
(601) 268-9559
Organisation at this address
Jackson Vamc
Wesley Physician Services Llc
Southern Women'S Health, Pllc
Southern Women'S Health, Pllc
Southern Women'S Health, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Also registered as
363LC1500X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi