Individual provider · Type 1 NPI

Kellie Roberts

Family Nurse Practitioner · Hattiesburg, MS

NPI number 1194519439 Active

Practice location

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X907202 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1194519439

Kellie Roberts's National Provider Identifier is 1194519439, issued on Apr 9, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on Apr 9, 2025.