Ruscoe, Dianne

Ruscoe, Dianne is an individual health care provider with primary practice located at 1405 Strong Ave , Greenwood MS 38930-4035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ruscoe, Dianne can be contacted via phone (662) 459-7030.

Contact Information

Primary practice address
1405 Strong Ave Greenwood MS 38930-4035
Phone: (662) 459-7030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN93020 Mississippi

Profile Details

NPI number 1215996004
LBN Legal business name Ruscoe, Dianne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Mar 29th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215996004 NPPES
Mississippi MEDICAID 00114504

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