Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN RUSSO
Active Sole ProprietorJACQUELYN RUSSO is a Children's Hospital healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1093252538 is currently active in the NPPES registry. Verify at CMS.
Children's Hospital · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1093252538
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2017 (9.5763324492853 yrs)
- Last Updated
- Jan 24, 2017
- License
-
SP016464 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
160 E ERIE AVEPHILADELPHIA, PA, 191341011Browse PA providers · Browse ZIP 19134
- Phone
- 2154275000
- Primary Specialty
-
Children's Hospital
282NC2000X
Other Children's Hospital Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL J BENNETT | PH.D. | 1598961922 |
| JESSICA ZUINO OSIPOWICZ | RN, MSN, CRNP | 1679845838 |
| KIMBERLY VENELLA | — | 1053786731 |
| SARAH LIMBACH | — | 1043763311 |
| FARZANA SHAH | — | 1184168379 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.