DR. JONBRIGHTON CHILDS RUSSELL (NPI# 1659863066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659863066 |
Entity Type | Individual |
Full Name | DR. JONBRIGHTON CHILDS RUSSELL |
Credential | DMD |
Practice Address |
4343 Dalrymple Ct Jackson MS 39211 |
Mailing Address |
4343 Dalrymple Ct Jackson MS 39211-6237 |
Practice Telephone | 6622077835 |
Mailing Telephone | 6622077835 |
Enumeration Date | 2018-05-31 |
Last Update Date | 2018-05-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
4343 DALRYMPLE CT |
City | JACKSON |
State | MS |
Zip Code | 39211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
1497292239 | Advanced Dental Clinic | Dentist | 1555 E County Line Road, Jackson, MS 39211 | 2017-01-31 |
Find all providers in zip 39211 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447851407 | Rebecca Lynn Collimore | Student in an Organized Health Care Education/Training Program | 5 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2020-11-05 |
1578176053 | Breanna Christina Wade | Student in an Organized Health Care Education/Training Program | 1647 Robinson St Apt B, Jackson, MS 39209-6424 | 2020-08-25 |
1730798240 | Taylor Michael Smith | Student in an Organized Health Care Education/Training Program | 21 Windfield Cv, Jackson, TN 38305-9778 | 2020-07-30 |
1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
1922620855 | Madison K Heine | Student in an Organized Health Care Education/Training Program | Univ. of Mississippi Medical Center, School of Dentistry, Jackson, MS 39216-3921 | 2020-05-14 |
1083236210 | Juvell Nicole Burris | Student in an Organized Health Care Education/Training Program | 802 Lakeland Dr Apt 104, Jackson, MS 39216-4613 | 2020-05-11 |
1316569742 | Monieca Michelle Mcnair | Student in an Organized Health Care Education/Training Program | 635 Nakoma Dr, Jackson, MS 39206-3335 | 2020-05-07 |
1760011480 | Kandice Bailey | Student in an Organized Health Care Education/Training Program | 915 Bellevue Pl, Jackson, MS 39202-2702 | 2020-04-04 |
1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
Find all providers in JACKSON |
Please comment or provide details below to improve the information on DR. JONBRIGHTON CHILDS RUSSELL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.