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Jacquelyn Russell, PA
NPI 1639156268 · on the registry since 2005
Practice
- Address
- 101 Airport Way
Iliamna, AK 99606 - Phone
- (907) 571-1818
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
Physician Assistant - Licence states on file
- IL, NY, AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-06
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 Alaska