Individual provider · Type 1 NPI

Jessica Lucarelli-Russell, APRN

Nurse Practitioner · Bridgeport, CT

NPI number 1114468048 Active

Practice location

2800 Main St
Bridgeport, CT 06606-4201

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X6968 (CT)

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 1114468048

Jessica Lucarelli-Russell, APRN's National Provider Identifier is 1114468048, issued on Mar 10, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bridgeport, CT. The record was last updated on Jun 9, 2017.