Individual provider · Type 1 NPI
Jacqueline Marie Russell, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Enterprise, OR
NPI number
1720673577
Active
Practice location
606 Medical Pkwy
Enterprise, OR 97828-5140
Fax (541) 426-3035
Mailing address
79571 Leap Ln
Wallowa, OR 97885-7107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10013334 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
46 other providers at this address
- Wallowa Valley Center for WellnessCommunity/Behavioral Health Agency Enterprise, OR NPI 1043249907
- Wallowa Valley Center for WellnessSubstance Use Disorder Rehabilitation Clinic/Center Enterprise, OR NPI 1093952996
- Wallowa Valley Center for WellnessClinic/Center Enterprise, OR NPI 1558817528
- Aidan Thomas WandschneiderPeer Specialist Enterprise, OR NPI 1689389900
- Alicia Danille Artison, MSWMental Health Counselor Enterprise, OR NPI 1669151411
- Anna Collier, QMHACase Manager/Care Coordinator Enterprise, OR NPI 1942094560
- Annie Jean WaltersCase Manager/Care Coordinator Enterprise, OR NPI 1891607156
- Bailey BrowderPeer Specialist Enterprise, OR NPI 1932073053
- Brett Parker, QMHACase Manager/Care Coordinator Enterprise, OR NPI 1578323481
- Brook Adale WittyPeer Specialist Enterprise, OR NPI 1508673260
- Carmen Michele RequaCase Manager/Care Coordinator Enterprise, OR NPI 1104775014
- Casey ReynoldsMental Health Counselor Enterprise, OR NPI 1437998242
About NPI 1720673577
Jacqueline Marie Russell, PMHNP-BC's National Provider Identifier is 1720673577, issued on Mar 3, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Enterprise, OR. The record was last updated on Mar 1, 2024.