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Jessica G Russom

Case Manager/Care Coordinator in Paragould, AR. Individual provider (NPI-1).

NPI number1154815744
StatusActive
Last updated in NPPESJun 18, 2018

Details

NPI
1154815744
Entity type
Individual (NPI-1)
Name
Jessica G Russom
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2018
Last updated
Jun 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1910 Rector Rd
Paragould, AR 72450-2004

Phone 870-240-8500

Mailing address

3012 Turman Dr
Jonesboro, AR 72404-8998

Phone 870-819-0200

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