JENNIFER RUSSELL (NPI# 1922406859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922406859 |
| Entity Type | Individual |
| Full Name | JENNIFER RUSSELL |
| Practice Address |
12777 N Rockwell Ave Oklahoma City OK 73142-2710 |
| Mailing Address |
21907 Toscana Ct Edmond OK 73012-0919 |
| Practice Telephone | 4057177740 |
| Mailing Telephone | (405) 623-2326 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2017-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
94676 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316348931 | Jennifer L Russell | Registered Nurse | 421 Yoctangee Pkwy, Chillicothe, OH 45601-1663 | 2014-09-15 |
| 1164850137 | Jennifer Russell | Veterinarian | 3501 Evergreen Way, Washougal, WA 98671-9142 | 2013-10-29 |
| 1497045033 | Jennifer Ann Russell | Counselor | 13 Barclay St, #2, Worcester, MA 01604-4207 | 2011-04-17 |
| 1497065577 | Jennifer Russell | Occupational Therapy Assistant | 6804 Sanger Ave, #227, Waco, TX 76710-4257 | 2010-10-07 |
| 1467691931 | Jennifer Carol Russell | Speech-Language Pathologist | 121 Bay Ridge Ct, Shelton, WA 98584-3608 | 2009-02-06 |
| 1265552160 | Jennifer Ann Russell | Dentist | 13752 Lakeridge Dr, Fishers, IN 46037-7608 | 2007-04-02 |
| 1205986858 | Jennifer S Russell | Obstetrics & Gynecology | 13005 Us Highway 301 S, Riverview, FL 33578-7439 | 2007-01-12 |
| 1134276173 | Jennifer M Russell | Marriage & Family Therapist | 2249 Oak Glen Dr, Stillwater, MN 55082-9631 | 2007-01-04 |
| 1649375981 | Jennifer Russell | Nurse Practitioner | 400 Martin Luther King Dr E, Cincinnati, OH 45229-3367 | 2006-09-13 |
| 1881239457 | Jennifer L Russell | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-11-07 |
| Street Address |
12777 N ROCKWELL AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043541733 | Patricia Jo Vaughn | Respiratory Therapist, Registered | 12777 N Rockwell Ave, Oklahoma City, OK 73142-2710 | 2010-01-20 |
| 1265964316 | Joseph Alexander Young | Orthotist | 12777 N Rockwell Ave, Oklahoma City, OK 73142-2710 | 2017-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| Find all providers in zip 73142 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548777188 | T. Jarel Brown Aprn Cnp Pllc | Clinical Nurse Specialist | 210 West Robert St, Poteau, OK 74953-2942 | 2018-01-04 |
| 1205206109 | Dawn Brown | Clinical Nurse Specialist | 2101 N 14th St Ste 114, Ponca City, OK 74601-1807 | 2015-10-05 |
| 1750683652 | Deborah Fiegel | Clinical Nurse Specialist | 3905 S Highway 97, Sand Springs, OK 74063-3829 | 2010-11-27 |
| 1811187800 | First Choice Wellness Center LLC | Clinical Nurse Specialist | 9 N Main, Kingston, OK 73439-7343 | 2007-07-26 |
| 1477093557 | Lauren Roberts | Clinical Nurse Specialist | 403 S Indian Rd, Idabel, OK 74745-5458 | 2017-03-08 |
| 1952757254 | Edward C Wemmerus | Clinical Nurse Specialist | 104 Wall St, Poteau, OK 74953-4405 | 2016-05-05 |
| 1376953943 | Sharon Ann Bowen | Clinical Nurse Specialist | 920 N 8th St, Hollis, OK 73550-2026 | 2014-05-05 |
| 1588097836 | Tabetha Jarel Brown | Clinical Nurse Specialist | 210 W Robert St, Poteau, OK 74953-2942 | 2013-08-09 |
| 1083931596 | Micki Richardson | Clinical Nurse Specialist | 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 | 2010-04-23 |
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
Please comment or provide details below to improve the information on JENNIFER 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.