Jared Russell

NPI 1992503718 · on the registry since 2025 · sole proprietor

Practice

Address: 3200 Maccorkle Ave Se
Charleston, WV 25304
Phone: (304) 388-5432
Organisation at this address: Wvupc Medicine Clinic (Lab)
Wvupc-Camc Memorial Hospital
Charleston Area Medical Center
Charleston Area Medical Center
Charleston Area Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 538

Additional practice sites

1220 Lee St E, Charleston, WV
1306 Kanawha Blvd E, Charleston, WV
800 Pennsylvania Ave, Charleston, WV
501 Morris St, Charleston, WV

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-27

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 West Virginia