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

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

Pediatric Nurse Practitioner: Definition to come...

12 other providers at this address

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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.