Russo, Jennifer

Russo, Jennifer is an individual health care provider with primary practice located at 83 Kind Ave , Henderson NV 89002-3364. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Russo, Jennifer can be contacted via phone (702) 824-7691.

Contact Information

Primary practice address
83 Kind Ave Henderson NV 89002-3364
Phone: (702) 824-7691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X RN55131 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G167246 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 238538 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 848206 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202203390-NP-PP Oregon

Profile Details

NPI number 1407200413
LBN Legal business name Russo, Jennifer
Credentials RN, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2016
Last updated Apr 10th, 2022 - about 3 years ago

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.

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