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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144416504 NPPES
Mississippi MEDICAID 03428243
Mississippi Other 512I500356

Popular Providers