Individual provider · Type 1 NPI
Jade Russell, NP
Family Nurse Practitioner · Jackson, MI
NPI number
1801406335
Active
Practice location
2205 W Morrell St
Jackson, MI 49203-1357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704330743 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801406335
Jade Russell, NP's National Provider Identifier is 1801406335, issued on Aug 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MI. The record was last updated on Aug 10, 2020.