Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEVERLY RUSSELL, PA
ActiveBEVERLY RUSSELL, PA is a Physician Assistant healthcare provider located in JACKSON, Michigan. NPI 1568573947 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JACKSON, MI
Registration Details
- NPI Number
- 1568573947
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2006 (19.97579858322 yrs)
- Last Updated
- Jan 4, 2021
- License
-
5601004024 (MI)
Practice Information
- Address
-
1111 TENEYCK STJACKSON, MI, 492012461Browse MI providers · Browse ZIP 49201
- Phone
- 5172058940
- Fax
- 5172050108
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| ROBERTA WRIGHT BRANDT | MS, PA-C | 1023015682 |
| BARRY MORGAN MYERS | PA | 1245238039 |
| ABBY L ANDERSON | PA-C | 1093795783 |
| AMY LIST | PA | 1528035060 |
| DAVID R WALKER | PA | 1881642320 |
| CRAIG EUGENE SPONSELLER | PA-C | 1578512851 |
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.