Individual
JAELYN MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8055 O ST STE 119B, LINCOLN, NE 68510-2565
(402) 200-5555
Mailing address
3180 OVERLAND TRL, LINCOLN, NE 68503-3301
(402) 904-0771
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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