Individual
DR. JESSICA ANN RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
8202 CLEARVISTA PKWY, STE 9C, INDIANAPOLIS, IN 46256-1457
(317) 621-5713
(317) 913-1472
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
23002440A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200976160
—
IN
Enumeration date
10/23/2009
Last updated
03/08/2021
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