Jennifer Russell

NPI 1376380964 · on the registry since 2024 · sole proprietor

Practice

Address: 694 Isaac Prugh Way
Kettering, OH 45429
Phone: (937) 367-2566
Organisation at this address: The Laurels Of Kettering, Llc
Lincoln Park Associates Ii Ltd Ptr
Pavillion Health & Rehab Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-10

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 Ohio