Individual
BEVERLY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 TENEYCK ST, JACKSON, MI 49201-2461
(517) 205-8940
(517) 205-0108
Mailing address
1111 TENEYCK ST, JACKSON, MI 49201-2461
(517) 205-8940
(517) 205-0108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568573947
—
MI
Enumeration date
08/31/2006
Last updated
01/04/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us