Jillian J Russell, NP-C
Nurse Practitioner, Adult Health in Worcester, Massachusetts
1861734030- Practice location
- 939 Southbridge St, Worcester, MA 01610-2227
- Phone
- 508-860-6589
- Fax
- —
- Last updated
- August 9, 2021
Jillian Julia Russell is a Nurse Practitioner, Adult Health based in Worcester, MA. Jillian Julia Russell practices in Worcester, MA and has the professional credentials of NP-C. The NPI Number for Jillian Julia Russell is 1861734030 and holds a License No. RN265677 (MA). The current practice location address for Jillian Julia Russell is 939 Southbridge St, Worcester, MA 01610-2227 and can be reached out via phone at 508-860-6589.
Provider Profile Details
- NPI Number
- 1861734030
- Provider Name
- Jillian Julia Russell
- Credential
- NP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 939 Southbridge St, Worcester, MA 01610-2227
- Phone Number
- 508-860-6589
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 26, 2013
- Last Update Date
- August 9, 2021
- Certification Date
- August 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 939 Southbridge St
Worcester, MA 01610-2227 - City
- Worcester
- State
- Massachusetts
- Zip
- 01610-2227
- Phone Number
- 508-860-6589
Provider Business Mailing Address Details
- Address
- 222 Boston Tpke
Shrewsbury, MA 01545-5224 - City
- Shrewsbury
- State
- MA
- Zip
- 01545-5224
- Phone Number
- 508-853-2854
- Fax Number
- 508-853-4354
License Information
- License Number
- RN265677
- License State
- MA
- Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jillian J Russell, NP-C?
The NPI number of Jillian J Russell, NP-C is 1861734030. It was assigned on March 26, 2013 and is currently active in the NPPES registry.
What is the specialty of Jillian J Russell, NP-C?
Jillian J Russell, NP-C is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number RN265677.
Where does Jillian J Russell, NP-C practice?
The practice location is 939 Southbridge St, Worcester, MA 01610-2227. The office can be reached at 508-860-6589 (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 1861734030 directly on the NPPES registry website.