Haralson, Susan Russell

Haralson, Susan Russell is an individual health care provider with primary practice located at 1500 E Woodrow Wilson Ave , Jackson MS 39216-5116. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Haralson, Susan Russell can be contacted via phone (601) 362-4471.

Contact Information

Primary practice address

1500 E Woodrow Wilson Ave Jackson MS 39216-5116

Phone: (601) 362-4471

Fax: (601) 368-3875

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Nursing Service Providers / Psychiatric/Mental Health, Adult	163WP0809X	R856116	Mississippi

Profile Details

NPI number	1568612778
LBN Legal business name	Haralson, Susan Russell
Credentials	NURSE PRACTITIONER
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Sep 24th, 2008
Last updated	Sep 24th, 2008 - about 16 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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