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Jennifer Russum
Family Nurse Practitioner in Clinton, Mississippi
NPI 1376951921

Jennifer Russum is a Family Nurse Practitioner based in Clinton, MS and is specialized in Family. Jennifer Russum practices in Clinton, MS. The NPI Number for Jennifer Russum is 1376951921 and holds a License No. R880745 (Mississippi).

The current practice location address for Jennifer Russum is 732 Clinton Pkwy, Clinton, MS and can be reached out via phone at 601-924-7994.

Location: 732 Clinton Pkwy, Clinton, MS, 39056-5227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376951921
Provider Name
Jennifer Russum
Credential
Provider Entity Type
Individual
Gender
Female
Address
732 Clinton Pkwy, Clinton, MS, 39056-5227
Phone Number
601-924-7994
Fax Number
Provider Enumeration Date
07/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01633507 05 MS
institution
Provider Business Practice Location Address Details
Address
732 Clinton Pkwy
City
Clinton
State
Mississippi
Zip
39056-5227
Phone Number
601-924-7994
Fax Number
person
Provider Business Mailing Address Details
Address
732 Clinton Pkwy
City
Clinton
State
Mississippi
Zip
39056-5227
Phone Number
601-924-7994
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R880745 (Mississippi)
Definition
Definition to come...
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