Individual
JARROD A RUSSO
Active
Individual
JARROD A RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
947329
NY
367500000X
Certified Registered Nurse Anesthetist
APN12234
TN
367500000X
Certified Registered Nurse Anesthetist
CRNA-01219
NM
367500000X
Certified Registered Nurse Anesthetist
RN116970
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3636848
—
TN
01
—
4137575
BCBS OF TN
TN
01
—
P00362861
RAILROAD MEDICARE
—
Enumeration date
10/04/2006
Last updated
08/09/2024
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