Individual provider · Type 1 NPI

Jessica Danielle Russell

Licensed Practical Nurse · Tulsa, OK

NPI number 1124976683 Active

Practice location

1323 E 71st St
Tulsa, OK 74136-5045

Mailing address

7224 S Elwood Ave Apt 24202
Tulsa, OK 74132-2453

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X228045 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

17 other providers at this address

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About NPI 1124976683

Jessica Danielle Russell's National Provider Identifier is 1124976683, issued on Mar 19, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tulsa, OK. The record was last updated on Mar 19, 2026.