Russell, Jody Ann
Russell, Jody Ann is an sole proprietor health care provider with primary practice located at 45 Breakey Ave , Monticello NY 12701-2530. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Russell, Jody Ann can be contacted via phone (845) 796-3058.Contact Information
Primary practice address
45 Breakey Ave
Monticello NY 12701-2530
Phone: (845) 796-3058
Fax: (845) 796-5035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 264167 | New York |
Profile Details
| NPI number | 1750652830 |
|---|---|
| LBN Legal business name | Russell, Jody Ann |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2012 |
| Last updated | Jan 20th, 2012 - about 12 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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