Individual
MRS. JACQUELINE MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN APNC
Contact information
Practice address
4011 ROUTE 9 S, SUITE 201, RIO GRANDE, NJ 08242-1916
(609) 770-7788
(609) 770-7774
Mailing address
PO BOX 593, CAPE MAY COURT HOUSE, NJ 08210-0593
(609) 463-2755
(609) 463-2757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN06637900
NJ
Other
Enumeration date
09/07/2006
Last updated
02/22/2013
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