Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Stacy Marie Russo, RN

Individual provider Registered Nurse · NPI 1770041774

Stacy Marie Russo, RN is a Registered Nurse in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1 Kool Pl
Port Jefferson Station, NY 11776-3312
Phone: (347) 525-7039
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 515069 (NY)

Record details

NPI number1770041774
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 8, 2019
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026

Other providers in Port Jefferson Station