Healthcare Provider Details

I. General information

NPI: 1073442950
Provider Name (Legal Business Name): RUTH DRUMMOND RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 CHADWICK DR
JACKSON MS
39204-3404
US

IV. Provider business mailing address

901 NORMANDY DR
CLINTON MS
39056-3626
US

V. Phone/Fax

Practice location:
  • Phone: 601-376-1000
  • Fax:
Mailing address:
  • Phone: 769-770-4830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number895269
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number895269
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number895269
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: