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Mrs. Dianne Ruscoe, NP
Pediatric Nurse Practitioner in Greenwood, Mississippi
NPI 1215996004

Dianne Ruscoe is a Pediatric Nurse Practitioner based in Greenwood, MS and is specialized in Pediatrics. Dianne Ruscoe practices in Greenwood, MS and has the professional credentials of NP. The NPI Number for Dianne Ruscoe is 1215996004 and holds a License No. RN93020 (Mississippi).

The current practice location address for Dianne Ruscoe is 1405 Strong Ave, Greenwood, MS and can be reached out via phone at 662-459-7030.

Location: 1405 Strong Ave, Greenwood, MS, 38935-1410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215996004
Provider Name
Dianne Ruscoe
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1405 Strong Ave, Greenwood, MS, 38935-1410
Phone Number
662-459-7030
Fax Number
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00114504 05 MS
institution
Provider Business Practice Location Address Details
Address
1405 Strong Ave
City
Greenwood
State
Mississippi
Zip
38930-4035
Phone Number
662-459-7030
Fax Number
person
Provider Business Mailing Address Details
Address
1405 Strong Ave
City
Greenwood
State
Mississippi
Zip
38930-4035
Phone Number
662-459-7030
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN93020 (Mississippi)
Definition
Definition to come...
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