DELTA PHYSICIAN PRACTICES NPI 1598884561

NPI Information

  • NPI: 1598884561
  • Provider Name: DELTA PHYSICIAN PRACTICES
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Organization
  • Address: 1693 S COLORADO ST
    GREENVILLE, MS
    ZIP 38703
  • Phone: (662) 332-8700

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NPI Details

DELTA PHYSICIAN PRACTICES is a nurse practitioner in Greenville, MS. The provider is (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. DELTA PHYSICIAN PRACTICES NPI is 1598884561. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1693 S COLORADO ST
GREENVILLE, MS
ZIP 38703-211
Phone: (662) 332-8700
Fax: (662) 332-3005

The provider's authorized official is Iris Stacker .
The authorized official title is Ceo and has the following contact phone number (662) 378-3783.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 11/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyNo
2363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109015100MEDICAIDMISSISSIPPI
2156272002MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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