Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marie Roussaw, NP

Individual provider Adult Health Nurse Practitioner · NPI 1649107988

Marie Roussaw, NP is a Nurse Practitioner in Lilburn, Georgia. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2026
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

483 Indian Trail Lilburn Rd NW
Lilburn, GA 30047-3717
Phone: (770) 923-4433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN-NP242283 (GA)

Record details

NPI number1649107988
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 8, 2026
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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