Individual
MRS. MARCELLA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1096 BEECH ST, WESSON, MS 39191-6847
(601) 643-6006
(601) 894-2514
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 249-2701
(601) 249-2195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R867044
MS
363LF0000X
Family Nurse Practitioner
Primary
867044
MS
363LP2300X
Primary Care Nurse Practitioner
867044
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01682070
—
MS
Enumeration date
01/27/2014
Last updated
07/22/2025
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