MS. SUSAN RUSSELL HARALSON (NPI# 1568612778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568612778 |
| Entity Type | Individual |
| Full Name | MS. SUSAN RUSSELL HARALSON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1500 E Woodrow Wilson Ave Jackson MS 39216-5116 |
| Practice Telephone | 6013624471 |
| Practice Fax Number | 6013683875 |
| Mailing Telephone | 6013624471 |
| Mailing Fax Number | 6013683875 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R856116 | MS | Nursing Service Providers |
| Street Address |
1500 E WOODROW WILSON AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740264035 | Sadeka Tamanna | Internal Medicine | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2005-12-01 |
| 1881291383 | Regina Marie Riley | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-10-07 |
| 1811502024 | Wendy Hopkins | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-09-14 |
| 1528679420 | Christopher Michael Mcguffey | Physical Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-08-13 |
| 1124637319 | Kathryn Martin Lewis | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-24 |
| 1932727468 | Davis Mckenna Simms | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-10 |
| 1154948222 | Tiffany Floyd | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-06 |
| 1962029389 | Devonda Y Elliott | Recreation Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-01 |
| 1629693759 | Latorya Lashay Smith | Dietitian, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-06-15 |
| 1932721669 | Aubrey Cain Young | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003996265 | Brenda E Day | Registered Nurse | 1500 Woodrow Wilson Blvd East, Va Medical Center, Jackson, MS 39216 | 2006-10-16 |
| 1912007832 | Jeanne H Palmer | Registered Nurse | 1500 E. Woodrow Wilson Dr, Jackson, MS 39216-5116 | 2006-09-22 |
| 1235239179 | Nita Aurora Magee | Registered Nurse | 1500 E Woodrow Wilson Ave # 116-a3, Jackson, MS 39216-5116 | 2006-09-22 |
| 1265546774 | Vinnie Curry Beckley | Registered Nurse | 1500 East Woodrow Wilson Drive (116a3), Jackson, MS 39216-5199 | 2006-08-19 |
| 1023098167 | Brian G Brown | Registered Nurse | 384d Carriage House Drive, Jackson, TN 38305-2268 | 2006-01-17 |
| 1346750247 | Selena Ann Hannibal | Registered Nurse | 2301 E Michigan Ave Ste 101, Jackson, MI 49202-3765 | 2017-10-05 |
| 1124467626 | Donna Marie Hantula | Registered Nurse | 2301 E Michigan Ave, Jackson, MI 49202-3700 | 2013-06-18 |
| 1710200795 | Eugene E Chapel | Registered Nurse | 1200 N West Ave, Suite 300, Jackson, MI 49202-2179 | 2010-03-05 |
| 1588693634 | Katherine M Raines | Registered Nurse | 2500 North State Street, Department of Psychiatry and Human Behavior, Jackson, MS 39216-4505 | 2006-07-01 |
| 1083653257 | Debra E Bell | Registered Nurse | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2006-06-05 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.