JESSICA RUSSELL (NPI# 1710521778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710521778 |
| Entity Type | Individual |
| Full Name | JESSICA RUSSELL |
| Practice Address |
1199 Prince Ave Athens GA 30606-2797 |
| Practice Telephone | 7064750000 |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2019-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0800X |
Registered Nurse Specialization: Neuroscience |
RN239269 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859048 | Jessica Jane Russell | Behavior Technician | 1107 Carrie Bolin Dr, Columbia, KY 42728-1034 | 2020-07-28 |
| 1396192258 | Jessica Russell | Licensed Practical Nurse | 7712 Lake Ridge Dr, Waterford, MI 48327-4164 | 2016-05-20 |
| 1043693872 | Jessica Russell | Occupational Therapist | 302 Sadie Douglas Cir, Shreveport, LA 71106-7689 | 2015-06-29 |
| 1407120967 | Jessica Jean Russell | Massage Therapist | 219 S 4th St E, Missoula, MT 59801-2725 | 2012-03-01 |
| 1619103603 | Jessica Rylant Russell | Occupational Therapist | 4450 Landward Dr, Millbrook, AL 36054-2206 | 2009-06-03 |
| 1184776692 | Jessica Nicole Jack Russell | Social Worker | 425 Niles Cortland Rd Se, Warren, OH 44484-2478 | 2007-01-17 |
| 1174121602 | Jessica Russell | Behavior Technician | 2288 Blue Water Blvd Ste 310, Odenton, MD 21113-3301 | 2020-10-16 |
| 1164049516 | Jessica Marie Russell | Physical Therapist | 2502 S Nc Highway 119, Mebane, NC 27302-9565 | 2020-07-01 |
| 1821632100 | Jessica Russell | Student in an Organized Health Care Education/Training Program | 311 Whittington Ave, Hot Springs, AR 71901-3407 | 2019-10-30 |
| 1427605401 | Jessica Russell | Behavioral Analyst | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2019-08-23 |
| Street Address |
1199 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902271 | Joel P Cook | Radiology | 1199 Prince Ave, Athens, GA 30606-2797 | 2005-06-14 |
| 1780283200 | Jenny Edwards Tolley | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-10-26 |
| 1649896143 | Monique Mellissa Hayles | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-06-19 |
| 1407478514 | Andrew Finley Woodham | Physician Assistant | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-05-12 |
| 1366062713 | Mecca Sabri Bennett | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-04-24 |
| 1083178321 | Mary H Brown | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-30 |
| 1144784372 | Jennifer Simpson Etheridge | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-22 |
| 1629542089 | Ansley Brooke Waters | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2019-01-17 |
| 1740750462 | Jonathan Hydrick | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2018-11-26 |
| 1497221683 | Nina G Kennedy | Nurse Practitioner | 1199 Prince Ave, Athens, GA 30606-2797 | 2018-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 163WN0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neuroscience |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041101 | Meghan Wetterhall Cantrell | Registered Nurse | 1361 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2020-04-01 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1023666138 | Sherline Sauveur | Registered Nurse | 695 Pownal Ln, Hampton, GA 30228-6385 | 2019-09-01 |
| 1285734004 | Dianne Lynn Gladd | Registered Nurse | #1 Freedom Way, Augusta, GA 30904 | 2006-09-22 |
| 1003311580 | Nursing Diagnostics LLC | Registered Nurse | 312 N Davis Dr, #100, Warner Robins, GA 31093 | 2018-03-27 |
| 1083027320 | Wellstar Medical Group, LLC | Registered Nurse | 677 Church St Ne, Marietta, GA 30060-1101 | 2014-06-04 |
| 1780819227 | Barbara Sommerfeld | Registered Nurse | 1841 Clifton Rd Ne, Suite 504, Atlanta, GA 30329-4021 | 2009-05-28 |
| 1164663845 | Marsha A Alexander | Registered Nurse | 980 Woodstock Parkway, Suite 300, Woodstock, GA 30188 | 2009-03-10 |
| 1346314036 | Sandra D Clements | Registered Nurse | 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2006-11-17 |
Please comment or provide details below to improve the information on JESSICA RUSSELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.