Jenifer Russell

NPI 1508255795 · on the registry since 2015

Practice

Address: 18947 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone: (302) 645-3770
Organisation at this address: Hannah G Whiddon
Ccd Delaware 1 Llc
Psych Total Care Llc
Beacon Pediatrics Llc
Lewes Spine Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 77

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: DE
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-01-12

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 Delaware