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

Jennifer Russo, RN, PMHNP

Individual provider Health Educator · NPI 1407200413

Jennifer Russo, RN, PMHNP is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2021, 5 years ago. Practices with Henderson Psychiatry Corporation, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Iowa, Nevada and Oregon.

Years since qualifying
5
Licensed in
AZ, IA, NV, OR
In the registry since
2016
Specialties on file
5
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

2480 E Tompkins Ave Ste 100
Las Vegas, NV 89121-7394
Phone: (725) 724-2005
Fax: (877) 418-8013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 83 Kind Ave, Henderson, NV 89002-3364 — (702) 824-7691

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 202203390-NP-PP (OR)
Health Educator Taxonomy 174H00000X · Licence RN55131 (NV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence G167246 (IA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 238538 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 848206 (NV)

Record details

NPI number1407200413
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , PMHNP
Sole proprietorNo
NPI enumeratedApril 15, 2016
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Henderson Psychiatry Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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