Individual provider · Type 1 NPI
Julianne Grace Russell, CNP
Pediatric Nurse Practitioner · Evanston, IL
NPI number
1780885541
Active
Practice location
1600 Dodge Ave, Room H-101
Evanston, IL 60201-3449
Fax (847) 492-5809
Mailing address
2650 Ridge Ave, Evanston Hospital
Evanston, IL 60201-1718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
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Other pediatric nurse practitioner providers in Evanston
About NPI 1780885541
Julianne Grace Russell, CNP's National Provider Identifier is 1780885541, issued on May 30, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Evanston, IL. The record was last updated on Jul 8, 2007.