person
Jacqueline Marie Russell, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Enterprise, Oregon
NPI 1720673577

Jacqueline Marie Russell is a Psychiatric/Mental Health Nurse Practitioner based in Wallowa, OR and is specialized in Psychiatric/Mental Health. Jacqueline Marie Russell practices in Enterprise, OR and has the professional credentials of PMHNP-BC. The NPI Number for Jacqueline Marie Russell is 1720673577 and holds a License No. 10013334 (Oregon).

The current practice location address for Jacqueline Marie Russell is 606 Medical Pkwy, Enterprise, OR and can be reached out via phone at 541-426-4524 and via fax at 541-426-3035.

Location: 606 Medical Pkwy, Enterprise, OR, 97885-7107
person
Provider Profile Details
NPI Number
1720673577
Provider Name
Jacqueline Marie Russell
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
606 Medical Pkwy, Enterprise, OR, 97885-7107
Phone Number
541-426-4524
Fax Number
541-426-3035
Provider Enumeration Date
03/03/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
606 Medical Pkwy
City
State
Zip
97828-5140
Phone Number
541-426-4524
Fax Number
541-426-3035
person
Provider Business Mailing Address Details
Address
606 Medical Pkwy
City
State
Zip
97828-5140
Phone Number
541-426-4524
Fax Number
541-426-3035
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
10013334 (Oregon)
Definition
Definition to come...
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