Jennifer Russum
NPI #1376951921 in Clinton, Mississippi
Provider Information
- NPI Number
- 1376951921
- Entity Type
- Individual
- Name
- Jennifer Russum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 28, 2014
- Last Updated
- Sep 10, 2020
Practice Location
- Address
- 732 CLINTON PKWY
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-5227
- Phone
- (601) 924-7994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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