Active NPIIndividual provider

Jessica Lucarelli-Russell, APRN

Nurse Practitioner in Bridgeport, Connecticut

NPI Number1114468048
Practice location
2800 Main St, Bridgeport, CT 06606-4201
Fax
—
Last updated
June 9, 2017

Jessica Lucarelli-Russell is a Nurse Practitioner based in Bridgeport, CT. Jessica Lucarelli-Russell practices in Bridgeport, CT and has the professional credentials of APRN. The NPI Number for Jessica Lucarelli-Russell is 1114468048 and holds a License No. 6968 (CT). The current practice location address for Jessica Lucarelli-Russell is 2800 Main St, Bridgeport, CT 06606-4201 and can be reached out via phone at 203-576-5708.

Provider Profile Details

NPI Number
1114468048
Provider Name
Jessica Lucarelli-Russell
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2800 Main St, Bridgeport, CT 06606-4201
Phone Number
203-576-5708
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
March 10, 2017
Last Update Date
June 9, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
2800 Main St
Bridgeport, CT 06606-4201
Zip
06606-4201
Phone Number
203-576-5708
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
2800 Main St
Bridgeport, CT 06606-4201
City
Bridgeport
State
CT
Zip
06606-4201
Phone Number
203-509-3732

License Information

License Number
6968
License State
CT
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Lucarelli-Russell, APRN?

The NPI number of Jessica Lucarelli-Russell, APRN is 1114468048. It was assigned on March 10, 2017 and is currently active in the NPPES registry.

What is the specialty of Jessica Lucarelli-Russell, APRN?

Jessica Lucarelli-Russell, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 6968.

Where does Jessica Lucarelli-Russell, APRN practice?

The practice location is 2800 Main St, Bridgeport, CT 06606-4201. The office can be reached at 203-576-5708 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114468048 directly on the NPPES registry website.

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