Russell, Jodi Hardy
Russell, Jodi Hardy is an individual health care provider with primary practice located at 107 Eureka St , Batesville MS 38606-2533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Russell, Jodi Hardy can be contacted via phone (662) 563-6000.Contact Information
Primary practice address
107 Eureka St
Batesville MS 38606-2533
Phone: (662) 563-6000
Fax: (662) 563-0700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R861526 | Mississippi |
Profile Details
| NPI number | 1144416504 |
|---|---|
| LBN Legal business name | Russell, Jodi Hardy |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2007 |
| Last updated | Aug 1st, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144416504 | NPPES |
| Mississippi | MEDICAID | 03428243 | |
| Mississippi | Other | 512I500356 |
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