IndividualActive
Jerelyn Russell
NPI 1801041124 · Community Health Worker · Winnsboro, SC
Provider details
- NPI number
- 1801041124
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 101Y00000X (SC)
Specialties & taxonomies
Other Service Providers
Behavioral Health & Social Service Providers
Practice location
1077 Kincaid Bridge Rd.
Winnsboro, SC 29180
Phone: (803) 635-9416
Fax: (803) 815-0403
Approximate (ZIP-level) locationGet directions
Mailing address
117 N Vanderhorst St
Winnsboro, SC 29180-1324
Registry dates
- Enumerated
- 2008-12-01
- Last updated
- 2008-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.