Delta Physician Practices in Jackson - Nurse Practitioner
Delta Physician Practices - NPI 1174642144
Delta Physician Practices is a Nurse Practitioner in Jackson, Mississippi. Delta Physician Practices practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Delta Physician Practices is 1174642144. The last update date is 2022-11-04.
Delta Physician Practices's current location address is Po Box 23998, Jackson, Mississippi. You can contact this provider via phone number 6627252749 and fax number 6627252741. The mailing address for Delta Physician Practices is Po Box 23998, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Delta Physician Practices |
|---|---|
| Address | Po Box 23998, Jackson, Mississippi |
| Phone Number | 6627252749 |
| Fax Number | 6627252741 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Stacker Iris |
| Telephone Number | 6627252264 |
NPI Number Detail
| NPI Number | 1174642144 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2022-11-04 |
Provider Mailing Address Detail
| Address | Po Box 23998 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392253998 |
| Phone Number | 6627252749 |
| Fax Number | 6627252741 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 156272002 | AR | -- | |
| 9015100 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Delta Physician Practices by the Centers for Medicare & Medicaid Services?
The Delta Physician Practices has been assigned the NPI (National Provider Identifier) 1174642144 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Delta Physician Practices is physically located?
The Delta Physician Practices is physically situated at the following address: Po Box 23998, Jackson, MS, 392253998.
What is the area of specialization for Delta Physician Practices, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Delta Physician Practices is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did Delta Physician Practices receive its 1174642144 assignment from the Centers for Medicare & Medicaid Services?
The Delta Physician Practices was assigned its 1174642144 on 2007-03-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Delta Physician Practices, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Delta Physician Practices, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-11-04.