Individual
DELOIS DARLENE ORTEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-4065
Mailing address
3506 HIGHWAY 496, MERIDIAN, MS 39301-8280
(601) 934-5310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902941
MS
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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