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

Individual provider Doula · NPI 1629710959

Johanna Serena Russo is a Doula in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
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Practice location Address checks out

3426 Roosevelt Rd
Jackson, MI 49203-5290
Phone: (517) 791-7724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X (MI)

Record details

NPI number1629710959
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2022
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022

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