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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RUTH KELLUM FREDERICKS, M.D.

Active Sole Proprietor

DR. RUTH KELLUM FREDERICKS, M.D. is a Neurology healthcare provider located in JACKSON, Mississippi. NPI 1730138843 is currently active in the NPPES registry. Verify at CMS.

Neurology · JACKSON, MS

Registration Details

NPI Number
1730138843
Provider Type
Individual
Gender
Female
NPI Issued
May 8, 2006 (20.082829019622 yrs)
Last Updated
Apr 4, 2025
Licenses
11722 (MS)
COVID19-TMP-427 (LA)
11722 (MS)
Sole Proprietor
Yes

Practice Information

Address
971 LAKELAND DR
SUITE 557
JACKSON, MS, 392164643
Browse MS providers · Browse ZIP 39216
Phone
6012004560
Fax
6013264632
Primary Specialty
Neurology
2084N0400X
Additional Specialty
Neurology
Additional Specialty
Neurology

Other Neurology Providers in JACKSON, MS

Name Credential NPI
JIMMY V WOLFE M.D. 1093791220
KATHLEEN A. MESSENGER M.D. 1174574701
DR. SALIL CHANDRA TIWARI MD 1922039528
DR. ERIC KARL UNDESSER MD, PHD 1124051321
DR. ETHEL S. ROSE MD 1376568568
DR. MECHERI SUNDARAM M.D. 1073527743
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.