Individual provider · Type 1 NPI

Jessica Dair Russell, PA-C

Medical Physician Assistant · East Greenwich, RI

NPI number 1588915565 Active

Practice location

1351 S County Trl, Suite 301
East Greenwich, RI 02818-5105

Call (401) 398-0860 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1588915565

Jessica Dair Russell, PA-C's National Provider Identifier is 1588915565, issued on Oct 1, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Greenwich, RI. The record was last updated on Sep 3, 2013.