SearchMichiganLicensed Practical Nurse

Jessica Russell

NPI 1396192258 · on the registry since 2016

Practice

Address
7712 Lake Ridge Dr
Waterford, MI 48327
Phone
(248) 505-7204

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-20

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 Michigan