National Provider Identifier
Jennifer Cathleen Russell, NP
Jennifer Cathleen Russell, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Lewiston, NY and a listed phone number of (716) 297-4800.
Profile Overview
- NPI
- 1477918902
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- December 29, 2015
- Last Updated
- December 29, 2015
Practice Location
- 5300 Military RD
- Lewiston, NY 14092-1903
Phone: (716) 297-4800
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1477918902
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Jennifer
- Middle Name
- Cathleen
- Credential
- NP
- Mailing Street Address
- 5300 Military RD
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-1903
- Mailing Country
- US
- Mailing Phone
- (716) 297-4800
- Practice Street Address
- 5300 Military RD
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1903
- Practice Country
- US
- Practice Phone
- (716) 297-4800
- Enumeration Date
- December 29, 2015
- Last Updated
- December 29, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)