Individual
JANNELL CHAKAKHAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
(213) 746-9379
Mailing address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
(213) 746-9379
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95030098
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
9214052
FL
Other
Enumeration date
11/02/2017
Last updated
03/24/2026
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