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Contact Information

JENNIFER RUSSELL
12777 N ROCKWELL AVE
OKLAHOMA CITY, OK73142-2710
 Phone: 405-717-7740
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JENNIFER RUSSELL · (Female)

NPI # 1922406859
Status Active
Credentials
Entity Individual
Enumeration date 12/09/2014
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 94676
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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