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

Mary Jo Russell, PA-C

Individual provider Physician Assistant · NPI 1528046695

Mary Jo Russell, PA-C is a Physician Assistant in Bettendorf, Iowa. Licensed in Iowa. Registered with an NPI since 2006.

Licensed in
IA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2300 53rd Ave Ste 100
Bettendorf, IA 52722-7564
Phone: (563) 322-0971
Fax: (563) 324-0615
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001347 (IA)

Record details

NPI number1528046695
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2006
Last updated in NPPESNovember 8, 2013

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