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

Jacob Russell

Individual provider Case Manager/Care Coordinator · NPI 1114785532

Jacob Russell is a Case Manager/Care Coordinator in Ludington, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

920 Diana St
Ludington, MI 49431-1987
Phone: (231) 845-6294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1114785532
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address920 Diana St, Ludington, MI 49431-1987

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