Individual
JENNIFER I RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-5000
Mailing address
6045 PEMBERTON WAY, COLORADO SPRINGS, CO 80919-2459
(303) 503-8783
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN.0202936
CO
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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