Family Medicine
DELTA LIFESTYLE SOLUTIONS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1619579208 · enumerated 2020-11-10 · record updated 2021-11-05. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MARY HACKNEY FNP-BC, Owner · (304) 623-6300
Addresses and phones
- Practice location 109 TOLLEY DR, BRIDGEPORT, WV, 26330-1669 (304) 623-6300 Fax (304) 623-6302 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 4246, CLARKSBURG, WV, 26302-4246 (304) 623-6300 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Addiction Medicine 207QA0401X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
-
Practice location
BRIDGEPORT, WV, 263301669
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.