Individual
MRS. DANA DELASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2500 N STATE ST, DEPT OF HEMATOLOGY, JACKSON, MS 39216-4500
(601) 984-5615
(601) 984-5689
Mailing address
2500 N STATE ST, DEPT OF MEDICINE-HEMATOLOGY, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R860432
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01726582
—
MS
01
—
P01228850
RAILROAD MEDICARE PTAN
MS
Enumeration date
11/03/2010
Last updated
04/10/2014
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