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

Roger L Decker, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1689154478

Roger L Decker, AGACNP-BC is an Acute Care Nurse Practitioner in Southaven, Mississippi. Licensed in Mississippi and Tennessee. Registered with an NPI since 2018.

Licensed in
MS, TN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

55 Physicians Ln
Southaven, MS 38671-9569
Phone: (662) 655-2136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 902736 (MS)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 24489 (TN)

Record details

NPI number1689154478
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 21, 2018
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

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