JENNIFER RUSSELL

LOS ANGELES, CA
NPI1659791986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  NP95013177)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  306506)
Enumeration Date2014-04-25
Last Update Date2023-11-27
Business Address
Ms. JENNIFER RUSSELL A-g np
1441 EASTLAKE AVE
LOS ANGELES, CA 90089-5403
Phone number: 323-865-3105
Mailing Address
Ms. JENNIFER RUSSELL A-g np
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-3105