Individual
MRS. MICHELLE POOLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7908 HWY 334, TOCCOPOLA, MS 38874-0000
(662) 281-8003
(662) 281-8020
Mailing address
PO BOX 389, TOCCOPOLA, MS 38874-0389
(662) 281-8003
(662) 281-8020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R885791
MS
Other
Enumeration date
01/30/2014
Last updated
07/06/2017
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