Individual
JENNIFER L RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
421 YOCTANGEE PKWY, CHILLICOTHE, OH 45601-1663
(740) 702-2287
(740) 773-1097
Mailing address
421 YOCTANGEE PKWY, CHILLICOTHE, OH 45601-1663
(740) 702-2287
(740) 773-1097
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.321284
OH
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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