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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE BLAKE RUSS, APRN

Active

JACQUELINE BLAKE RUSS, APRN is a Nurse Practitioner healthcare provider located in LOUISVILLE, Kentucky. NPI 1891279584 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LOUISVILLE, KY

Registration Details

NPI Number
1891279584
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2018 (7.9105554962814 yrs)
Last Updated
Nov 18, 2024
License
3012682 (KY)

Practice Information

Address
4123 DUTCHMANS LN STE 307
LOUISVILLE, KY, 402074721
Browse KY providers · Browse ZIP 40207
Phone
5024095600
Fax
5022593078
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in LOUISVILLE, KY

Name Credential NPI
LEAH D PHILLIPS-BLACK A.R.N.P. 1609879162
MRS. RHONDA W. HOWARD APRN. 1124022496
MRS. MARY B BECKER APRN 1952305807
MRS. PATRICIA C MADER A.R.N.P. 1285639005
RITA HARRISON ARNP 1083610745
LORA WELCH ARNP, FNP-C 1679579379
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.