Individual provider · Type 1 NPI
Jannell Chakakhan Russell
Primary Care Nurse Practitioner · Los Angeles, CA
NPI number
1265944979
Active
Practice location
1530 S Olive St
Los Angeles, CA 90015-3023
Fax (213) 746-9379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 9214052 (FL) |
| Nurse Practitioner | 363L00000X | 95030098 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1265944979
Jannell Chakakhan Russell's National Provider Identifier is 1265944979, issued on Nov 2, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 24, 2026.