| Jessica Russell, | |
|
7712 Lake Ridge Dr, Waterford, MI 48327-4164 | |
| (248) 505-7204 | |
| Not Available |
| Full Name | Jessica Russell |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 7712 Lake Ridge Dr, Waterford, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396192258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703109555 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Russell, 7712 Lake Ridge Dr, Waterford, MI 48327-4164 Ph: (248) 505-7204 | Jessica Russell, 7712 Lake Ridge Dr, Waterford, MI 48327-4164 Ph: (248) 505-7204 |
Bonnie Carrier, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 7195 Banks, Waterford, MI 48327 Phone: 248-408-3643 | |
Holly Gardner, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 356 Pine Creek Ct, Waterford, MI 48327 Phone: 248-219-3245 | |
Denis Potvin, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3815 Pine Orchard Cir, Waterford, MI 48329 Phone: 248-535-5720 | |
Toni Williams, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 794 E Alpha Pkwy, Waterford, MI 48328 Phone: 248-632-0406 | |
Ms. Daniele Nicole Lanier, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1255 N Oakland Blvd, Waterford, MI 48327 Phone: 248-406-0090 | |
Helen Dinsmore, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5746 King James Ln, Waterford, MI 48327 Phone: 248-681-3302 |