DELTA CLINICS, P.L.C.
NPI 1578004453
Nurse Practitioner - Family in Jackson, TN

Q: What is Delta Clinics, P.L.C.'s NPI number?

The NPI number for Delta Clinics, P.L.C. is 1578004453. It was assigned to this organization in the NPPES registry on March 13, 2017.

Q: What is Delta Clinics, P.L.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 13, 2017

17 CENTRE PLAZA DR, JACKSON, TN 38305(731) 512-0104 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 6, 2026, Mar 13, 2017 (2 updates tracked since 2017).

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About Delta Clinics, P.l.c. NPPES

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

DELTA CLINICS, P.L.C. (NPI 1578004453) is a healthcare organization registered as a family in Jackson, Tennessee and active in the NPI registry since March 2017. The organization lists Meagan Hardison, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1578004453

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameDELTA CLINICS, P.L.C.

Location Address17 CENTRE PLAZA DRJackson, TN 38305-2862

Mailing Address17 Centre Plaza DrJackson, TN 38305-2862 · (731) 512-0104

Phone(731) 512-0104

Organization SubpartNo

Authorized OfficialMeagan HardisonPractice Manager · (731) 512-0104

Enumeration DateMarch 13, 2017

Last NPPES UpdateMay 6, 20262 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1578004453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · APN0000022418

17 CENTRE PLAZA DR, Jackson, TN 38305

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

DR. SIMON OLALEKAN OKEWOLE D.O.

Internal Medicine (Clinical Cardiac Electrophysiology)