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

MS. Jennifer Russell, A-GNP

Individual provider Adult Health Nurse Practitioner · NPI 1659791986

MS. Jennifer Russell, A-GNP is a Nurse Practitioner in Los Angeles, California. Qualified in 2013, 13 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
13
Licensed in
CA, NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1441 Eastlake Ave
Los Angeles, CA 90089-5403
Phone: (323) 865-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence NP95013177 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 306506 (NY)

Record details

NPI number1659791986
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP
Sole proprietorYes
NPI enumeratedApril 25, 2014
Last updated in NPPESNovember 27, 2023
Certification dateAugust 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Los Angeles