What is Jessica Russom's NPI number?

Jessica Russom's National Provider Identifier (NPI) is 1225864366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jessica Russom's specialty?

Jessica Russom is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jessica Russom located?

Jessica Russom's practice location on file with NPPES is 2995 Warrior Ln, Poplar Bluff, MO 63901-8600.

What is Jessica Russom's phone number?

The practice phone number listed in the NPPES registry for Jessica Russom is (573) 712-2902.

Is Jessica Russom's NPI active?

Yes — Jessica Russom's NPI (1225864366) is active in the NPPES registry as of the last update on 2024-09-13.

IndividualActive

Jessica Russom

NPI 1225864366 · Behavior Technician · Poplar Bluff, MO

Jessica Russom is a Behavior Technician provider in Poplar Bluff, MO (NPI 1225864366).

Provider details

NPI number: 1225864366
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2995 Warrior Ln

Poplar Bluff, MO 63901-8600

Phone: (573) 712-2902

Street-level locationGet directions

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Mailing address