Individual provider · Type 1 NPI
Jessica Russell, NP
Family Nurse Practitioner · Raleigh, NC
NPI number
1255696449
Active
Practice location
726 N Blount St
Raleigh, NC 27604-1124
Fax (984) 220-9262
Mailing address
3064 Wake Forest Rd # 1365
Raleigh, NC 27609-7844
Other practice locations
- 3030 S College Ave Unit 210, Fort Collins, CO 80525-2557 · (919) 213-1029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 226111 (NC) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5005735 (NC) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | C-APN.0101787-C-NP (CO) |
| Family Nurse Practitioner Primary | 363LF0000X | 5005735 (NC) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1255696449
Jessica Russell, NP's National Provider Identifier is 1255696449, issued on Jul 12, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Raleigh, NC. The record was last updated on Oct 27, 2026.