Individual
DR. JENNIFER RAGAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(917) 855-9957
Mailing address
7125 13TH PL NW, WASHINGTON, DC 20012
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
DO210012353
DC
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
DO210012353
DC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4715
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DO210012353
DC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DO210012353
DC
Other
Enumeration date
02/07/2006
Last updated
01/14/2026
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