Rolison, Connie R.

Rolison, Connie R. is an individual health care provider with primary practice located at 4577 13Th St , Gulfport MS 39501-2516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Rolison, Connie R. can be contacted via phone (228) 864-2752.

Contact Information

Primary practice address
4577 13Th St Gulfport MS 39501-2516
Phone: (228) 864-2752
Fax: (228) 214-4206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R852304 Mississippi

Profile Details

NPI number 1750480307
LBN Legal business name Rolison, Connie R.
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750480307 NPPES
Mississippi MEDICAID 0125772

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