Individual
JAMIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4545
(864) 797-6311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024195498
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
3818
SC
367500000X
Certified Registered Nurse Anesthetist
4704226414
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4835563
—
MI
05
—
PENDING
—
SC
Enumeration date
05/26/2006
Last updated
02/24/2026
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