Jennifer H Russum (NPI# 1376951921, PAC ID# 1355560756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376951921 |
| PAC ID by PECOS | 1355560756 |
| Professional Enrollment ID | I20140917001736 |
| Full Name | Jennifer H Russum |
| Organization Legal Name | RIVER OAKS MANAGEMENT COMPANY LLC |
| Address |
1020 N Flowood Dr Suite 480 Flowood MS 39232-9532 |
| Phone Number | 6013761394 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345233110 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250072 | MERIT HEALTH CENTRAL |
| Address | Phone | Organization |
|---|---|---|
| 1020 N Flowood Dr, Suite 480, Flowood, MS 39232-9532 | 6013761394 | RIVER OAKS MANAGEMENT COMPANY LLC |
| 1026 N Flowood Dr, Flowood, MS 39232-9532 | 6013762818 | RIVER OAKS MANAGEMENT COMPANY LLC |
| Organization Legal Name | RIVER OAKS MANAGEMENT COMPANY LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malcolm P Taylor | Cardiovascular Disease (cardiology) | River Oaks Management Company LLC | 163 River Oaks Dr, Canton, MS 39046-5324 |
| Erica L Bertschler | Nurse Practitioner | River Oaks Management Company LLC | 7215 S Siwell Rd, Byram, MS 39272-9776 |
| George T Smith-vaniz | Internal Medicine | River Oaks Management Company LLC | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| Fidel F Sendra | Thoracic Surgery | River Oaks Management Company LLC | 1040 River Oaks Dr, Suite 100, Flowood, MS 39232-9531 |
| Almois Ali Mohamad | Cardiovascular Disease (cardiology) | River Oaks Management Company LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Dawn L Taylor | Nurse Practitioner | River Oaks Management Company LLC | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| Linda Nell Hunter | Nurse Practitioner | River Oaks Management Company LLC | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| Qasim Munir Cheema | Cardiovascular Disease (cardiology) | River Oaks Management Company LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Daniel P Dare | Orthopedic Surgery | River Oaks Management Company LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Menarvia K Nixon | Neurosurgery | River Oaks Management Company LLC | 1850 Chadwick Dr, Jackson, MS 39204-3404 |
| Street Address |
1020 N FLOWOOD DR SUITE 480 |
| City | FLOWOOD |
| State | MS |
| Zip | 39232-9532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saloum Cisse | Family Medicine | River Oaks Management Company LLC | 1020 N Flowood Dr, Suite 480, Flowood, MS 39232-9532 |
| Kelly D Sosa | Nurse Practitioner | River Oaks Management Company LLC | 1020 N Flowood Dr, Suite 480, Flowood, MS 39232-9532 |
| Gerhard H Mundinger Jr. | Thoracic Surgery | River Oaks Management Company, LLC | 1020 N Flowood Dr, Suite 480, Flowood, MS 39232-9532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James K Hensarling | Rheumatology | 4436 Mangum Dr A, Flowood, MS 39232-2113 | |
| Charles Bradley Edmondson | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Results Physiotherapy, Flowood, MS 39232-3306 |
| Cortni Cooper | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Results Physiotherapy, Flowood, MS 39232-3306 |
| Latoya Green | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Flowood, MS 39232-3306 |
| Leah Calder | Physician Assistant | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Miriam J Shatley | Dermatology | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Anna C Asher | Dermatology | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Audra Lewis | Nurse Practitioner | Ms Phs LLC | 232 Market St, Flowood, MS 39232-3339 |
| Okshoon Scott | Nurse Practitioner | Segue Health of Mississippi LLC | 232 Market St, Flowood, MS 39232-3339 |
| Denise Gossett | Nurse Practitioner | Segue Health of Mississippi LLC | 232 Market St, Flowood, MS 39232-3339 |
| Find all physicians in zip 39232 | |||
| City | FLOWOOD |
| Zip Code | 39232 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FLOWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer H Russum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.