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Jessica Russell
Licensed Practical Nurse in Waterford, Michigan
NPI 1396192258

Jessica Russell is a Licensed Practical Nurse based in Waterford, MI. Jessica Russell practices in Waterford, MI. The NPI Number for Jessica Russell is 1396192258 and holds a License No. 4703109555 (Michigan).

The current practice location address for Jessica Russell is 7712 Lake Ridge Dr, Waterford, MI and can be reached out via phone at 248-505-7204.

Location: 7712 Lake Ridge Dr, Waterford, MI, 48327-4164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396192258
Provider Name
Jessica Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
7712 Lake Ridge Dr, Waterford, MI, 48327-4164
Phone Number
248-505-7204
Fax Number
Provider Enumeration Date
05/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7712 Lake Ridge Dr
City
Waterford
State
Michigan
Zip
48327-4164
Phone Number
248-505-7204
Fax Number
person
Provider Business Mailing Address Details
Address
7712 Lake Ridge Dr
City
Waterford
State
Michigan
Zip
48327-4164
Phone Number
248-505-7204
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703109555 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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