Individual
MRS. DELIA TAYLOR EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CFNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1196
(601) 815-0434
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1196
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R772541
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08076251
—
MS
Enumeration date
03/05/2007
Last updated
11/25/2014
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