Individual
YALINDA SMITH ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
103 BASKET ST, ITTA BENA, MS 38941-2801
(662) 254-7801
(662) 254-9173
Mailing address
521 RED BIRD DR, GREENWOOD, MS 38930-7319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907070
MS
Other
Enumeration date
11/12/2024
Last updated
12/22/2025
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