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

Jannell Chakakhan Russell

Individual provider Primary Care Nurse Practitioner · NPI 1265944979

Jannell Chakakhan Russell is a Nurse Practitioner in Los Angeles, California. Qualified in 2016, 10 years ago. Practices with Siskiyou Hospital Inc, a 96-clinician group and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
10
Licensed in
CA, FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1530 S Olive St
Los Angeles, CA 90015-3023
Phone: (213) 747-5542
Fax: (213) 746-9379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 9214052 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 95030098 (CA)

Record details

NPI number1265944979
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2017
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

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 Siskiyou Hospital Inc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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