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Mrs. Jean Russo, LPN
Licensed Practical Nurse in Lisbon, New York
NPI 1720100233

Jean Russo is a Licensed Practical Nurse based in Lisbon, NY. Jean Russo practices in Lisbon, NY and has the professional credentials of LPN. The NPI Number for Jean Russo is 1720100233 and holds a License No. 278222-1 (New York).

The current practice location address for Jean Russo is 71 Keyes Rd, Lisbon, NY and can be reached out via phone at 315-393-7732.

Location: 71 Keyes Rd, Lisbon, NY, 13658-3204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720100233
Provider Name
Jean Russo
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
71 Keyes Rd, Lisbon, NY, 13658-3204
Phone Number
315-393-7732
Fax Number
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
71 Keyes Rd
City
Lisbon
State
New York
Zip
13658-3204
Phone Number
315-393-7732
Fax Number
person
Provider Business Mailing Address Details
Address
71 Keyes Rd
City
Lisbon
State
New York
Zip
13658-3204
Phone Number
315-393-7732
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
278222-1 (New York)
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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