Russell, Rebecca Hall

Russell, Rebecca Hall is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Russell, Rebecca Hall can be contacted via phone (601) 984-5260.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X R785141 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 785141 Mississippi

Profile Details

NPI number 1679769657
LBN Legal business name Russell, Rebecca Hall
Credentials CNNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2007
Last updated May 22nd, 2017 - about 8 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 1679769657 NPPES
Mississippi MEDICAID 06107379
Mississippi MEDICAID 2379577

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