Individual provider · Type 1 NPI

Jared T. Russell

Certified Registered Nurse Anesthetist · Charleston, WV

NPI number 1992503718 Active

Practice location

3200 Maccorkle Ave SE
Charleston, WV 25304-1227

Call (304) 388-5432 Map

Mailing address

8 Nancy Ln
Barboursville, WV 25504-1164

Other practice locations

  • 1220 Lee St E, Charleston, WV 25301-1863 · (304) 388-1800
  • 1306 Kanawha Blvd E, Charleston, WV 25301-3001 · (304) 343-4371
  • 800 Pennsylvania Ave, Charleston, WV 25302-3351 · (304) 388-5432
  • 501 Morris St, Charleston, WV 25301-1326 · (304) 388-5432

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X123379 (WV)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1992503718

Jared T. Russell's National Provider Identifier is 1992503718, issued on Mar 6, 2025. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Charleston, WV. The record was last updated on Jun 27, 2025.