Jamisha Lenetta Russell, is a
Peer Specialist based in Riverside, California. Jamisha Lenetta Russell is licensed to practice in * (Not Available) (license number ) and her current practice location is
2085 Rustin Ave Ste A, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(951) 715-5040.
NPI number for Jamisha Lenetta Russell is 1912420035 and her current mailing address is 2085 Rustin Ave, Riverside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912420035.
Healthcare Provider's Profile
Full Name | Jamisha Lenetta Russell |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 2085 Rustin Ave Ste A, Riverside, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912420035
- Provider Enumeration Date: 07/20/2017
- Last Update Date: 03/07/2024
Medical Identifiers
Medical identifiers for Jamisha Lenetta Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912420035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (California) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamisha Lenetta Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jamisha Lenetta Russell, 2085 Rustin Ave, Riverside, CA 92507-2498 Ph: (951) 715-5040 | Jamisha Lenetta Russell, 2085 Rustin Ave Ste A, Riverside, CA 92507-2498 Ph: (951) 715-5040 |
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