Individual
JESSICA LYNN RUSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7455 W WASHINGTON AVE STE 160, LAS VEGAS, NV 89128-4356
(702) 878-0393
(702) 258-3777
Mailing address
7455 W WASHINGTON AVE STE 160, LAS VEGAS, NV 89128-4356
(702) 878-0393
(702) 258-3777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
833171
NV
Other
Enumeration date
01/12/2021
Last updated
07/22/2021
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