Individual provider · Type 1 NPI
Ja'net Russell
Nurse Practitioner · New York, NY
Practice location
1468 Madison Ave
New York, NY 10029-6508
Mailing address
PO Box 215
Middletown, NJ 07748-0215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 340455 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1003495516
Ja'net Russell's National Provider Identifier is 1003495516, issued on Apr 3, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Apr 3, 2021.