Search › Kentucky › 363L00000X
Jacqueline Russ, APRN
NPI 1891279584 · on the registry since 2018
Practice
- Address
- 4123 Dutchmans Ln Ste 307
Louisville, KY 40207 - Phone
- (502) 409-5600
- Fax
- (502) 259-3078
- Organisation at this address
- Pediatric And Neonatal Specialists
Ellis & Badenhausen Orthopaedics, PscInferred from a shared address, not stated in the registry. - Clinicians at this address
- 134
Additional practice sites
- 100 Mallard Creek Rd Ste 406, Louisville, KY
- 4001 Dutchmans Ln, Louisville, KY
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-18
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 Kentucky