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

Jillian Marie Russell, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1891060620

Jillian Marie Russell, MSCCC-SLP is a Speech-Language Pathologist in Concord, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012

Practice location Address checks out

4401 Old Airport Rd
Concord, NC 28025-7188
Phone: (704) 933-3781
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6742 (NC)

Record details

NPI number1891060620
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMarch 13, 2012
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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