Individual
JAMIE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 JEFFERSON DAVIS HWY, NORTH CHESTERFIELD, VA 23234-2257
(804) 383-2000
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177097
VA
Other
Enumeration date
01/29/2020
Last updated
10/23/2024
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