Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELYN KAY RUSSELL, PA
DeactivatedMS. JACQUELYN KAY RUSSELL, PA is a Physician Assistant healthcare provider located in ILIAMNA, Alaska. NPI 1639156268 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · ILIAMNA, AK
This NPI has been deactivated.
The record was deactivated on August 16, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639156268
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 23, 2005 (18.647540983607 yrs)
- Last Updated
- Sep 6, 2024
- Deactivated
- Aug 16, 2024
- Licenses
-
085.004670 (IL)023071 (NY)PADA481 (AK)
Practice Information
- Address
-
101 AIRPORT WAYILIAMNA, AK, 99606Browse AK providers · Browse ZIP 99606
- Phone
- 9075711818
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ILIAMNA, AK
| Name | Credential | NPI |
|---|---|---|
| ANNE ELIZABETH DAILEY | PA | 1952318735 |
| SUZANNE MARGARET MILETTE | PA-C | 1952417792 |
| RUTH SINGLETON ALVAREZ | PA-C | 1194815126 |
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.