Individual provider · Type 1 NPI

Jessica Russell, LPN

Licensed Practical Nurse · Olympia, WA

NPI number 1205765179 Active

Practice location

1910 Black Lake Blvd SW
Olympia, WA 98512-5651

Call (360) 706-8771 Map

Mailing address

PO Box 1123
Tenino, WA 98589-1123

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	LP60045967 (WA)

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.

3 other providers at this address

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About NPI 1205765179

Jessica Russell, LPN's National Provider Identifier is 1205765179, issued on May 18, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Olympia, WA. The record was last updated on May 18, 2026.