Jackie Marie Russo

  • NPI 1134643315
According to our database, the NPI number for Jackie Marie Russo is 1134643315 and activated since 6 years ago. Jackie Marie Russo is an individual provider who specializes in Nurse Practitioner, and the primary practice location is 12600 Pembroke Rd Ste 312, Miramar, FL 33027. You can also contact Jackie Marie Russo via telephone number is (954) 431-7681. Provider NPI information was last updated on 03/17/2018.

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Overview of Jackie Marie Russo

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/31/2017
  • Last updated: 03/17/2018

Primary Scrop of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: ARNP9295134
  • License State: FL

Provider Mailing Address

  • Address: 151 Southhall Ln Ste 300
    Maitland, FL 32751
  • Phone: 407-875-2080
  • Fax: 407-650-3455

Provider Practice Location

  • Address: 12600 Pembroke Rd Ste 312
    Miramar, FL 33027
  • Phone: 954-431-7681
  • Fax: 954-431-7682

Scope of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: ARNP929513
  • License State: FL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jackie Marie Russo?
  • A: The npi number for Jackie Marie Russo is 1134643315.
  • Q: What are Jackie Marie Russo's specialties?
  • A: Jackie Marie Russo's specialties are Nurse Practitioner and different specialities.
  • Q: What is the medical license for Jackie Marie Russo?
  • A: The medical license number for Jackie Marie Russo is ARNP9295134 and issued in FL in USA.
  • Q: Where is Jackie Marie Russo practice location?
  • A: Jackie Marie Russo is practicing at 12600 Pembroke Rd Ste 312, Miramar, FL 33027.
  • Q: How to contact Jackie Marie Russo?
  • A: You can contact Jackie Marie Russo via 954-431-7681.
Medicare Specialty
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