Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Russum

Individual provider Family Nurse Practitioner · NPI 1376951921

Jennifer Russum is a Nurse Practitioner in Clinton, Mississippi. Qualified in 2014, 12 years ago. Practices with River Oaks Management Company LLC, a 34-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2014

Practice location Address checks out

732 Clinton Pkwy
Clinton, MS 39056-5227
Phone: (601) 924-7994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R880745 (MS)

Record details

NPI number1376951921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 28, 2014
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020
Mailing address732 Clinton Pkwy, Clinton, MS 39056-5227

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice River Oaks Management Company Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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