Individual ProviderDelana EdgarNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6414 Highway 98, Suite 120, Hattiesburg, MS 39402(601) 296-2833PECOS EnrollmentBased on the most recent information from CMS, provider Delana Edgar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1629517115Provider TypeIndividualFull NameEdgar, DelanaCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date2/16/2017Last Updated7/25/2023Contact InformationPractice LocationPractice Address6414 Highway 98, Suite 120, Hattiesburg, MS 39402Phone(601) 296-2833FaxUnlisted FaxMailing LocationMailing Address415 S 28th Ave, Hattiesburg, MS 39401-7246Phone(601) 296-2833FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense901960Mississippi