Russell, Jessica Brannon
Russell, Jessica Brannon is an individual health care provider with primary practice located at 2000 Medical Pkwy Ste 306 , Annapolis MD 21401-3745. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Russell, Jessica Brannon can be contacted via phone (410) 571-9700.Contact Information
Primary practice address
2000 Medical Pkwy Ste 306
Annapolis MD 21401-3745
Phone: (410) 571-9700
Fax: (410) 571-9710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | D0068757 | Maryland |
Profile Details
| NPI number | 1447397583 |
|---|---|
| LBN Legal business name | Russell, Jessica Brannon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Dec 28th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447397583 | NPPES |
| Maryland | Other | D0068757 | MEDICAL LICENSE |
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