Russell, Janice A

Russell, Janice A is an individual health care provider with primary practice located at 401 E Elm St , Carson City MI 48811-0670. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Russell, Janice A can be contacted via phone (989) 584-3107.

Contact Information

Primary practice address
401 E Elm St Carson City MI 48811-0670
Phone: (989) 584-3107
Fax: (989) 584-6458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 5101010614 Michigan

Profile Details

NPI number 1922177377
LBN Legal business name Russell, Janice A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922177377 NPPES
Michigan MEDICAID 4450218
Michigan MEDICAID 4450227

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