Individual
SHARONDA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
225 COMMUNITY DR, FAYETTE, MS 39069
(601) 786-3475
Mailing address
225 COMMUNITY DR, FAYETTE, MS 39069
(601) 786-3475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07151264
MS
Other
Enumeration date
08/04/2015
Last updated
09/23/2016
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