Roberts, Marcella

Roberts, Marcella is an individual health care provider with primary practice located at 300 Rawls Dr Ste 600, Mccomb MS 39648-2877. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Roberts, Marcella can be contacted via phone (601) 249-4415.

Contact Information

Primary practice address
300 Rawls Dr Ste 600 Mccomb MS 39648-2877
Phone: (601) 249-4415
Fax: (601) 249-4474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 867044 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R867044 Mississippi

Profile Details

NPI number 1538582531
LBN Legal business name Roberts, Marcella
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2014
Last updated Feb 3rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538582531 NPPES
Mississippi MEDICAID 01682070

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