Russell, Jessica

Russell, Jessica is an sole proprietor health care provider with primary practice located at 340 N Milledge Ave Ste B , Athens GA 30601-3806. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Russell, Jessica can be contacted via phone (706) 548-0008.

Contact Information

Primary practice address
340 N Milledge Ave Ste B Athens GA 30601-3806
Phone: (706) 548-0008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neuroscience 163WN0800X RN239269 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN239269 Georgia

Profile Details

NPI number 1710521778
LBN Legal business name Russell, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2019
Last updated Sep 21st, 2022 - about 3 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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