Ja'net Russell
Nurse Practitioner
1468 Madison Ave
New York
, New York 10029-6508
Ja'net Russell
Nurse Practitioner
1468 Madison Ave
New York
, New York 10029-6508
(917) 756-6849
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Ja'net Russell
- Po Box 215
- Middletown, NJ
- Zip : 07748-0215
- Phone : (917) 756-6849
Second Address
- Ja'net Russell
- 1468 Madison Ave
- New York, NY
- Zip : 10029-6508
- Phone : (212) 241-6500
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 340455 | NY |
National Provider Identifier
| NPI | 1003495516 |
|---|---|
| Provider Name | Ja'net Russell |
| First Address | Middletown, NJ 07748-0215 |
| Second Address | New York, NY 10029-6508 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.