Delta Phoenix Medical Consulting
NPI #1174309819 in Southaven, Mississippi
Provider Information
- NPI Number
- 1174309819
- Entity Type
- Organization
- Organization Name
- Delta Phoenix Medical Consulting
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 7, 2023
- Last Updated
- Nov 7, 2023
Practice Location
- Address
- 940 CHURCH RD W STE A2
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-9611
- Phone
- (662) 231-8436
Authorized Official
- Name
- MONICA JOY STANFORD, FNP-C
- Title
- OWNER SOLE PROPRIETOR
- Phone
- (662) 231-8436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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