Individual provider · NPI-1

Delphine Sitsofe Ayivor

Nurse Practitioner, Adult Health · Fort Benning, GA

NPI number1295277754

StatusActive

Last updated in NPPESMar 17, 2026

Details

NPI: 1295277754
Entity type: Individual (NPI-1)
Name: Ms. Delphine Sitsofe Ayivor
Sex: Female
Sole proprietor: Yes
Enumeration date: Nov 14, 2016
Certification date: Mar 17, 2026
Last updated: Mar 17, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LA2200X	Nurse Practitioner, Adult Health	APRN-NP212661	GA	Yes
364SC2300X	Clinical Nurse Specialist, Chronic Care	RN212661	GA

Practice location

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Phone 706-626-1703

Mailing address

9264 Garrett Lake Dr
Midland, GA 31820-4446

Phone 732-687-2012

Other practice locations

2022 10th Ave
Columbus, GA 31901-3724

Phone 732-687-2012

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