Search › California › 363LA2100X
Jacquelyn Russell, AGACNP
NPI 1124603097 · on the registry since 2021
Practice
- Address
- 1855 4th St, San Francisco
San Francisco, CA 94158 - Phone
- (978) 808-6646
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California