Jackie Marie Russo, NP
NPI #1134643315 in Miramar, Florida
Provider Information
- NPI Number
- 1134643315
- Entity Type
- Individual
- Name
- Jackie Marie Russo, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Jul 31, 2017
- Last Updated
- Mar 2, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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