JENNIFER RUSSO

LAFAYETTE, LA
NPI1487331955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  231237)
Enumeration Date2023-06-28
Last Update Date2023-06-28
Business Address
JENNIFER RUSSO PMHNP
406 SAINT JULIEN AVE
LAFAYETTE, LA 70506-4622
Phone number: 337-366-6050
Mailing Address
JENNIFER RUSSO PMHNP
1045 JOE MOUTON RD
SAINT MARTINVILLE, LA 70582-6225
Phone number: 337-278-3151
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