MS. Jacquelyn Kay Russell, PA
MS. Jacquelyn Kay Russell, PA is a Physician Assistant in Iliamna, Alaska. Qualified in 1997, 29 years ago. Practices with Southcentral Foundation, a 170-clinician group and accepts Medicare assignment. Licensed in Alaska, Illinois and New York.
- Years since qualifying
- 29
- Licensed in
- AK, IL, NY
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
101 Airport WayIliamna, AK 99606
Phone: (907) 571-1818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PADA481 (AK) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 085.004670 (IL) |
| Physician Assistant | Taxonomy 363A00000X · Licence 023071 (NY) |
Record details
| NPI number | 1639156268 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 23, 2005 |
| Last updated in NPPES | September 6, 2024 |
| Certification date | August 30, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Southcentral Foundation — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Iliamna
-
Ruth Singleton Alvarez, PA-C
101 Airport Rd, Iliamna, AK 99606-9800 · (907) 729-8624
-
Anne Elizabeth Dailey, PA
101 Airport Rd, Iliamna, AK 99606-9800 · (907) 729-8624
-
Suzanne Margaret Milette, PA-C
101 Airport Rd, Iliamna, AK 99606-9800 · (907) 729-8624
-
Sherry D Nelson, PA-C
101 Airport Way, Iliamna, AK 99606-9800 · (907) 571-1818