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

Jacquelyn Russell, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1124603097

Jacquelyn Russell, AGACNP is a Nurse Practitioner in San Francisco, California. Qualified in 2019, 7 years ago. Practices with University of California San Francisco, a 1,793-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1855 4th St San Francisco
San Francisco, CA 94158
Phone: (978) 808-6646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence NP95015822 (CA)

Record details

NPI number1124603097
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMarch 12, 2021
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of California San Francisco — 1793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Francisco