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Contact Information

JASTIN RUSSELL, BSN, RN-BC
1878 JEFF RD NW
HUNTSVILLE, AL35806-4260
 Phone: 256-945-7405
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Gastroenterology

163WG0100X
 

Medical-Surgical

163WM0705X
 

Occupational Health

363LX0106X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JASTIN RUSSELL · (Female)

NPI Number 1689136681
Status Active
Credentials BSN, RN-BC
Entity Individual
Enumeration date 04/01/2019
Last updated 01/26/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 1-157898
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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