Individual
CONNIE R. ROLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
W.H.N.P.
Contact information
Practice address
4577 13TH ST, GULFPORT, MS 39501-2516
(228) 864-2752
(228) 214-4206
Mailing address
4577 13TH ST, GULFPORT, MS 39501-2516
(228) 864-2752
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R852304
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125772
—
MS
Enumeration date
09/21/2006
Last updated
02/14/2008
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