Jordan Russell
NPI #1093311805 in Charlestown, Rhode Island
Provider Information
- NPI Number
- 1093311805
- Entity Type
- Individual
- Name
- Jordan Russell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Dec 7, 2020
- Last Updated
- Dec 7, 2020
Practice Location
- Address
- 4705 OLD POST RD
- City
- Charlestown
- State
- Rhode Island
- ZIP Code
- 02813-1841
- Phone
- (401) 364-7705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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