| Jennifer Russum, | |
|
732 Clinton Pkwy, Clinton, MS 39056-5227 | |
| (601) 924-7994 | |
| Not Available |
| Full Name | Jennifer Russum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 732 Clinton Pkwy, Clinton, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376951921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R880745 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health Agency Of Jackson, Inc. Dba Accentcare Home Health Of Jackson | Clinton, MS | Home health agency |
| Merit Health Central | Jackson, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River Oaks Management Company Llc | 0345233110 | 35 |
| Entity Name | River Oaks Management Company LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922029040 PECOS PAC ID: 0345233110 Enrollment ID: O20040407000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Russum, 732 Clinton Pkwy, Clinton, MS 39056-5227 Ph: (601) 924-7994 | Jennifer Russum, 732 Clinton Pkwy, Clinton, MS 39056-5227 Ph: (601) 924-7994 |
Mrs. Jacolyn Alyse Robinson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Woodmoor Cv, Clinton, MS 39056 Phone: 601-899-2981 |
Lauren Lanier Guthrie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Friars Cv, Clinton, MS 39056 Phone: 601-383-5583 |
Mrs. Lakeisha Crye Green, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Highway 80 E, Clinton, MS 39056 Phone: 601-488-9668 |
Mrs. Amanda Monique Carson-griffin, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 Springridge Rd, Clinton, MS 39056 Phone: 601-488-8101 |
Vickey Lashell Palmer-wells, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Kitchings Dr, Clinton, MS 39056 Phone: 601-850-7359 |
Alexis Grabow Strahan, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Clinton Pkwy, Clinton, MS 39056 Phone: 601-924-9005 |
Chekisha Tabb, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 115 Victoria Ln, Clinton, MS 39056 Phone: 601-906-7130 |