Ja'net Russell

NPI #1003495516 in New York, New York

Provider Information

NPI Number: 1003495516
Entity Type: Individual
Name: Ja'net Russell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse Practitioner
Enumeration Date: Apr 3, 2021
Last Updated: Apr 3, 2021

Practice Location

Address: 1468 MADISON AVE
City: New York
State: New York
ZIP Code: 10029-6508
Phone: (212) 241-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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