Individual provider · Type 1 NPI

Jacey Russell

Student in an Organized Health Care Education/Training Program · Omaha, NE

NPI number 1790675338 Active

Practice location

4400 Emile St
Omaha, NE 68198-0600

Call (402) 559-4000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790675338

Jacey Russell's National Provider Identifier is 1790675338, issued on Jul 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Omaha, NE. The record was last updated on Jul 7, 2025.