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Jenna Russo
Student in an Organized Health Care Education/Training Program in Starkville, Mississippi
NPI 1275383093

Jenna Russo is a Student in an Organized Health Care Education/Training Program based in Starkville, MS. Jenna Russo practices in Starkville, MS. The NPI Number for Jenna Russo is 1275383093 and holds a License No. (Mississippi).

The current practice location address for Jenna Russo is 500 Mallory Ln Apt 27M, Starkville, MS and can be reached out via phone at 407-462-8434.

Location: 500 Mallory Ln Apt 27M, Starkville, MS, 39759-7109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275383093
Provider Name
Jenna Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 Mallory Ln Apt 27M, Starkville, MS, 39759-7109
Phone Number
407-462-8434
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
500 Mallory Ln Apt 27M
City
Starkville
State
Mississippi
Zip
39759-7109
Phone Number
407-462-8434
Fax Number
person
Provider Business Mailing Address Details
Address
500 Mallory Ln Apt 27M
City
Starkville
State
Mississippi
Zip
39759-7109
Phone Number
407-462-8434
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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