Organization
JENIFER RUSSELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER REBECCA RUSSELL RN (RN)
(602) 881-3668
Entity
Organization
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3100
Mailing address
23098 NARROWS LN, LEWES, DE 19958-3373
(302) 645-3100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
L1-0026203
DE
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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