Jacqueline Marie Russell, PMHNP-BC is a psychiatric/mental health nurse practitioner in Enterprise, OR with 4 years of experience. Jacqueline Marie Russell, PMHNP-BC NPI is 1720673577. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2020
The provider's business location address is:
606 MEDICAL PKWY
ENTERPRISE, OR
ZIP 97828-140
Phone: (541) 426-4524
Fax: (541) 426-3035
The NPI 1720673577 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 3/3/2021 and was last updated on 3/1/2024.