SHELLY GUNNELL ROARK

LAUREL, MS
NPI1083170559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: MS  902947)
Additional Taxonomies363LC1500X Nurse Practitioner, Community Health
(Licence: MS  902947)
Enumeration Date2019-02-20
Last Update Date2021-01-19
Business Address
SHELLY GUNNELL ROARK Nurse Practitioner
103 S 12TH AVE
LAUREL, MS 39440-4322
Phone number: 601-399-1970
Mailing Address
SHELLY GUNNELL ROARK Nurse Practitioner
117 S 11TH AVE
LAUREL, MS 39440-4312
Phone number: 601-425-3033