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Jessica Russell
NPI 1427605401 · on the registry since 2019
Practice
- Address
- 632 Eastern Blvd
Clarksville, IN 47129 - Phone
- (317) 249-2242
- Fax
- (317) 663-1175
- Organisation at this address
- Little Star Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 177
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-23
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 Indiana