Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JERELYN S RUSSELL
Active Sole ProprietorMRS. JERELYN S RUSSELL is a Community Health Worker healthcare provider located in WINNSBORO, South Carolina. NPI 1801041124 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · WINNSBORO, SC
Registration Details
- NPI Number
- 1801041124
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2008 (17.735401635368 yrs)
- Last Updated
- Dec 1, 2008
- Licenses
-
101Y00000X (SC)172V00000X (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1077 KINCAID BRIDGE RD.WINNSBORO, SC, 29180Browse SC providers · Browse ZIP 29180
- Phone
- 8036359416
- Fax
- 8038150403
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in WINNSBORO, SC
| Name | Credential | NPI |
|---|---|---|
| RUDENE JACKSON BUDHOO | EXECUTIVE DIRECTOR | 1821394313 |
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.