Individual provider · Type 1 NPI
Shonderria L. Roberts
Nurse Practitioner · Hamilton, MS
Practice location
40032 Rodeo Dr
Hamilton, MS 39746-9690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 907385 (MS) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1063332088
Shonderria L. Roberts's National Provider Identifier is 1063332088, issued on Jul 20, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hamilton, MS. The record was last updated on Sep 1, 2026.