JADE RUSSELL

JACKSON, MI
NPI1801406335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704330743)
Enumeration Date2020-08-10
Last Update Date2020-08-10
Business Address
JADE RUSSELL NP
2205 W MORRELL ST
JACKSON, MI 49203-1357
Phone number: 716-622-1523
Mailing Address
JADE RUSSELL NP
2205 W MORRELL ST
JACKSON, MI 49203-1357
Phone number: 716-622-1523
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