Individual provider · Type 1 NPI
Jacquelyn Russell, AGACNP
Acute Care Nurse Practitioner · San Francisco, CA
NPI number
1124603097
Active
Practice location
1855 4th St, San Francisco
San Francisco, CA 94158
Mailing address
60 Sycamore St Apt A
San Francisco, CA 94110-1222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | NP95015822 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1124603097
Jacquelyn Russell, AGACNP's National Provider Identifier is 1124603097, issued on Mar 12, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in San Francisco, CA. The record was last updated on Mar 12, 2021.