Jennifer Ann Russell, DDS is a student in an organized health care education training program in Green Bay, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jennifer Ann Russell, DDS NPI is 1508375130. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2851 UNIVERSITY AVE
GREEN BAY, WI
ZIP 54311
Phone: (920) 431-2500
The NPI 1508375130 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 9/27/2017 and was last updated on 9/27/2017.