Individual provider · Type 1 NPI
Jacob Russell, APRN-CNP
Nurse Practitioner · Columbus, OH
Practice location
460 W 10th Ave
Columbus, OH 43210-1240
Fax (614) 293-7520
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Other practice locations
- 410 W 10th Ave, Columbus, OH 43210-1240 · (614) 293-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.0043698 (OH) |
| Nurse Practitioner Primary | 363L00000X | APRN.CNP.0043698 (OH) |
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 1023932126
Jacob Russell, APRN-CNP's National Provider Identifier is 1023932126, issued on Aug 10, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbus, OH. The record was last updated on Oct 15, 2026.