Active NPIIndividual provider

Kelsey Russo, APN

Nurse Practitioner, Adult Health in Neptune, New Jersey

NPI Number1124771506
Practice location
1945 Nj-33, Neptune, NJ 07753
Fax
—
Last updated
January 27, 2022

Kelsey Russo is a Nurse Practitioner, Adult Health based in Neptune, NJ. Kelsey Russo practices in Neptune, NJ and has the professional credentials of APN. The NPI Number for Kelsey Russo is 1124771506 and holds a License No. 26NJ01099000 (NJ). The current practice location address for Kelsey Russo is 1945 Nj-33, Neptune, NJ 07753 and can be reached out via phone at 732-775-5500.

Provider Profile Details

NPI Number
1124771506
Provider Name
Kelsey Russo
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1945 Nj-33, Neptune, NJ 07753
Phone Number
732-775-5500
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
January 27, 2022
Last Update Date
January 27, 2022
Certification Date
January 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1945 Nj-33
Neptune, NJ 07753
Zip
07753
Phone Number
732-775-5500
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
1550 Meeting House RD
Sea Girt, NJ 08750-2207
City
Sea Girt
State
NJ
Zip
08750-2207
Phone Number
908-692-4391

License Information

License Number
26NJ01099000
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Kelsey Russo, APN?

The NPI number of Kelsey Russo, APN is 1124771506. It was assigned on January 27, 2022 and is currently active in the NPPES registry.

What is the specialty of Kelsey Russo, APN?

Kelsey Russo, APN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ01099000.

Where does Kelsey Russo, APN practice?

The practice location is 1945 Nj-33, Neptune, NJ 07753. The office can be reached at 732-775-5500 (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 1124771506 directly on the NPPES registry website.

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