Individual
JENNIFER M RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
369 W BLACKWELL ST STE 6, DOVER, NJ 07801-2560
(973) 361-7606
(973) 361-8942
Mailing address
369 W BLACKWELL ST STE 6, DOVER, NJ 07801-2560
(973) 361-7606
(973) 361-8942
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15117100
NJ
Other
Enumeration date
08/20/2024
Last updated
02/07/2025
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