Individual provider · Type 1 NPI

Jennifer Inez McLean-Russ, PMHNP-BC

Psychiatric/Mental Health Clinical Nurse Specialist · Durham, NC

NPI number 1083356059 Active

Practice location

3622 Lyckan Pkwy Ste 4006
Durham, NC 27707-2566

Fax (919) 910-5668

Other practice locations

  • 554 N Main St Ste 103, South Boston, VA 24592-3283 · (919) 390-1398

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Clinical Nurse Specialist Primary 364SP0808X5016126 (NC)

Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...

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About NPI 1083356059

Jennifer Inez McLean-Russ, PMHNP-BC's National Provider Identifier is 1083356059, issued on Apr 11, 2022. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Durham, NC. The record was last updated on Aug 28, 2026.