Individual
ROXANE THERESA MONCURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1911 MISSION 66 STE B, VICKSBURG, MS 39180-3762
(601) 456-2598
(855) 830-3484
Mailing address
919 RUTHERFORD DR, JACKSON, MS 39206-2033
(601) 259-6426
(601) 376-2570
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG01190040
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
903127
WOUNDCARE
MS
Enumeration date
02/26/2019
Last updated
08/28/2025
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