Russell Jacobson, Ellen
Russell Jacobson, Ellen is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-8573. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Russell Jacobson, Ellen can be contacted via phone (615) 322-5000.Contact Information
Primary practice address
3601 The Vanderbilt Clinic
Nashville TN 37232-8573
Phone: (615) 322-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 19503 | Tennessee |
| Other Service Providers / Specialist | 174400000X | MD0000019503 | Tennessee |
Profile Details
| NPI number | 1962456772 |
|---|---|
| LBN Legal business name | Russell Jacobson, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Sep 3rd, 2026 - about last month |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962456772 | NPPES |
| Tennessee | Other | 6049042 | BCBS |
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