Individual
ADROINE R ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4505
(601) 984-4027
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4505
(601) 984-4027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907110
MS
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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