MRS. JASTIN RUSSELL BSN RN-BC NPI 1689136681

NPI Information

NPI: 1689136681
Provider Name: MRS. JASTIN RUSSELL, BSN, RN-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
12100 COUNTY LINE RD STE A2
MADISON, AL
ZIP 35756
Phone: (256) 724-7714
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MRS. Jastin Russell, BSN, RN-BC is a family nurse practitioner in Madison, AL with 4 years of experience. MRS. Jastin Russell, BSN, RN-BC NPI is 1689136681. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

12100 COUNTY LINE RD STE A2
MADISON, AL
ZIP 35756-006
Phone: (256) 724-7714
Fax: (256) 724-7065

The NPI 1689136681 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), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2019 and was last updated on 10/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		1-157898	ALABAMA	No
2	163WG0100X	Registered Nurse	Gastroenterology	1-157898	ALABAMA	No
3	163WM0705X	Registered Nurse	Medical-Surgical	1-157898	ALABAMA	No
4	363LF0000X	Nurse Practitioner	Family	1-157898	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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