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

Individual provider Nurse Practitioner · NPI 1811347586

Jamie Lynn Russell, NURSEPRACTITIONER is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2016, 10 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
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Practice location Address checks out

4937 Old Country Club Rd
Winston Salem, NC 27104-5071
Phone: (336) 718-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 — (336) 718-0944
  • 1712 S Stratford Rd, Winston Salem, NC 27103-2926 — (336) 718-4995

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5008756 (NC)

Record details

NPI number1811347586
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 14, 2016
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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