Individual
JACQUELINE MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
606 MEDICAL PKWY, ENTERPRISE, OR 97828-5140
(541) 426-4524
(541) 426-3035
Mailing address
79571 LEAP LN, WALLOWA, OR 97885-7107
(503) 899-3219
(541) 426-3035
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10013334
OR
Other
Enumeration date
03/03/2021
Last updated
03/01/2024
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