IndividualActive
Dianne Ruscoe, NP
NPI 1215996004 · Pediatric Nurse Practitioner · Greenwood, MS
Provider details
- NPI number
- 1215996004
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- RN93020 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1405 Strong Ave
Greenwood, MS 38930-4035
Phone: (662) 459-7030
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1410
Greenwood, MS 38935-1410
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2008-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.