Individual provider · Type 1 NPI

Jessica Lee Russell, PA-C

Physician Assistant · Rome, GA

NPI number 1386350262 Active

Practice location

100 Three Rivers Dr NE Ste A
Rome, GA 30161-4999

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X11714 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386350262

Jessica Lee Russell, PA-C's National Provider Identifier is 1386350262, issued on Jan 25, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rome, GA. The record was last updated on Jun 9, 2026.