Individual
DR. JESSICA BRANNON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 MEDICAL PKWY STE 306, ANNAPOLIS, MD 21401-3745
(410) 571-9700
(410) 571-9710
Mailing address
2000 MEDICAL PKWY STE 306, ANNAPOLIS, MD 21401-3745
(410) 980-3729
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0068757
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0068757
MEDICAL LICENSE
MD
Enumeration date
01/30/2007
Last updated
12/28/2021
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