Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY JO RUSSELL, PA-C
ActivePhysician Assistant · BETTENDORF, IA
Registration Details
- NPI Number
- 1528046695
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2006 (20.280775789973 yrs)
- Last Updated
- Nov 8, 2013
- License
-
001347 (IA)
Practice Information
- Address
-
2300 53RD AVESUITE 100BETTENDORF, IA, 527227564Browse IA providers · Browse ZIP 52722
- Phone
- 5633220971
- Fax
- 5633240615
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BETTENDORF, IA
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH A JAMES | PA-C | 1063417558 |
| MRS. LISA INGRID NELSON-NGUYEN | PAC | 1619964210 |
| JOHN TRYON | PA-C | 1780654194 |
| MRS. TRINA GEBAUER BLAIR | PAC | 1598738635 |
| MARCUS E. HOSKINS | PA-C | 1457389116 |
| MELISSA MARGARET PEYTON | PA-C | 1851589683 |
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.