Russell, Jastin

Russell, Jastin is an sole proprietor health care provider with primary practice located at 12100 County Line Rd Ste A2 , Madison AL 35756-2006. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Gastroenterology, Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Russell, Jastin can be contacted via phone (256) 724-7714.

Contact Information

Primary practice address
12100 County Line Rd Ste A2 Madison AL 35756-2006
Phone: (256) 724-7714
Fax: (256) 724-7065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1-157898 Alabama
Nursing Service Providers / Gastroenterology 163WG0100X 1-157898 Alabama
Nursing Service Providers / Medical-Surgical 163WM0705X 1-157898 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-157898 Alabama

Profile Details

NPI number 1689136681
LBN Legal business name Russell, Jastin
Credentials BSN, RN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2019
Last updated Oct 17th, 2023 - about last year

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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