Shelly Gunnell Roark
NURSE PRACTITIONER | Nurse Practitioner - Community Health | 9+ years Exp
5003 Hardy St Ste 350, Hattiesburg
Mississippi, 39402-1323
601-268-9393
Shelly Gunnell Roark is a Hattiesburg, Mississippi based nurse practitioner with 9 years of experience in Community Health. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shelly Gunnell Roark is 902947 for Women Health in Mississippi. Her current practice location is 5003 Hardy St Ste 350, Hattiesburg. Patients can reach her at 601-268-9393 or can fax her at 601-268-9559. Shelly Gunnell Roark is NURSE PRACTITIONER with specialization in Community Health and her NPI number (Unique professional ID assigned by NPPES) is 1083170559.
Shelly Gunnell Roark works to improve the health and well-being of the communities they serve by educating them about illness, disease prevention, safe health practices, and how to obtain health care services. She also facilitate communication between people, their families, and the medical community in order to improve health outcomes. Her work includes performing free health care screenings, vaccinations, and other forms of preventative care at reduced costs.
Complete Profile:
Shelly Gunnell Roark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shelly Gunnell Roark |
| Specialization: | Community Health Nurse Practitioner (CNP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5003 Hardy St Ste 350, Hattiesburg,
Mississippi, 39402-1323 |
| Phone: | 601-268-9393 |
| Fax: | 601-268-9559 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2163763103 |
| Enrollment ID: | I20190401001576 |
| NPI Number: | 1083170559 |
| NPI Enumeration Date: | 20 Feb, 2019 |
| NPI Last Update On: | 24 Feb, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shelly Gunnell Roark are as mentioned below.
| License Number | Specialization | State | Status | |
| 902947 | Women Health | Mississippi | Primary | |
| 902947 | Community Health | Mississippi | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Shelly Gunnell Roark is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Family Health Center, Inc (9638163348) | 12 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Shelly Gunnell Roark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 108317055 | Medicaid | Mississippi | |
| PENDING | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shelly Gunnell Roark
6524 U S Highway 98,
Hattiesburg, Mississippi |
| Zip: | 39402-8569 |
| Phone Number: | 601-268-9393 |
| Fax Number: | 601-268-9559 |
Patients can reach Shelly Gunnell Roark at
5003 Hardy St Ste 350, Hattiesburg, Mississippi or can
call to book an appointment on 601-268-9393.
Comments/ Reviews:
Patients can read all the reviews posted for Shelly Gunnell Roark below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Shelly Gunnell Roark. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.