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

Jessica Russell

Individual provider Neuroscience Registered Nurse · NPI 1710521778

Jessica Russell is a Nurse Practitioner in Athens, Georgia. Qualified in 2021, 5 years ago. Practices with Aga Professional Services LLC, a 173-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

340 N Milledge Ave Ste B
Athens, GA 30601-3806
Phone: (706) 548-0008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN239269 (GA)
Neuroscience Registered Nurse Taxonomy 163WN0800X · Licence RN239269 (GA)

Record details

NPI number1710521778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2019
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

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 Aga Professional Services Llc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount