Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ja'Net Russell

Individual provider Nurse Practitioner · NPI 1003495516

Ja'Net Russell is a Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

1468 Madison Ave
New York, NY 10029-6508
Phone: (212) 241-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 340455 (NY)

Record details

NPI number1003495516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 3, 2021
Last updated in NPPESApril 3, 2021
Certification dateApril 3, 2021

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