NPI 1164863262

Michelle L Roark, CNM

Practitioner Midwife Meridian, MS

Practice location

Address: 905c S Frontage Rd, Meridian, MS 39301-6113
Phone: (601) 486-4210
Fax: (601) 482-4219
Mailing address: PO Box 5208, Meridian, MS 39302-5208

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence A810516 (MS)

Other Midwife providers in Mississippi →

Registry record

NPI: 1164863262
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2013
Record last updated: 18 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.