Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared J Deloach II, NP

Individual provider Nurse Practitioner · NPI 1235766304

Jared J Deloach II, NP is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2019, 7 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1391 Broad Ave Ste A
Gulfport, MS 39501-2419
Phone: (228) 863-8868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 903846 (MS)

Record details

NPI number1235766304
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESMarch 26, 2020
Certification dateMarch 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gulfport