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DELICIA BROOKE MANGRUM PA-C
NPI 1154955235
Physician Assistant in Hohenwald, TN

Active since February 27, 2020
110 KITTRELL ST, HOHENWALD, TN 38462(931) 628-4489 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2026, Dec 7, 2020, Feb 27, 2020 (3 updates tracked since 2020).

About Delicia Brooke Mangrum Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELICIA BROOKE MANGRUM PA-C (NPI 1154955235) is an individual physician assistant in Hohenwald, Tennessee, licensed in Tennessee (4176) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1154955235
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDELICIA BROOKE MANGRUMCredential: PA-C
Location Address110 KITTRELL STHohenwald, TN 38462-1363
Mailing Address7102 Gregory CtFairview, TN 37062-8287
Phone(931) 628-4489
Sole ProprietorNo
Enumeration DateFebruary 27, 2020
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1154955235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in TN · 4176✔ Licensed in AL · 1555
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
110 KITTRELL ST, Hohenwald, TN 38462
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DURHURST CLINICAL SERVICES, LLC
Pharmacy (Community/Retail Pharmacy)
110 KITTRELL ST
HOHENWALD, TN 38462
Lewis County (731) 926-5001
TINA JOHNSON
Nurse Practitioner (Family)
110 KITTRELL ST
HOHENWALD, TN 38462
Lewis County (931) 295-3406
MRS. MIRANDA ULANOWSKI FNP-C
Nurse Practitioner (Family)
110 KITTRELL ST
HOHENWALD, TN 38462
Lewis County (931) 796-1818
TIFFANY DAWN HURST D.PH.
Pharmacist
110 KITTRELL ST
HOHENWALD, TN 38462
Lewis County (931) 295-3406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delicia Mangrum's NPI number?

The NPI number for Delicia Mangrum is 1154955235. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Delicia Mangrum located?

Delicia Mangrum practices at 110 Kittrell St, Hohenwald, TN 38462. The listed phone number is (931) 628-4489.

What is Delicia Mangrum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Delicia Mangrum was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.