Individual provider · Type 1 NPI

Jahanna Raphine Ellis Russell, M.B.B.S

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1093502932 Active

Practice location

506 Lenox Ave
New York, NY 10037-1802

Call (212) 939-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093502932

Jahanna Raphine Ellis Russell, M.B.B.S's National Provider Identifier is 1093502932, issued on Apr 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jan 13, 2026.