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

Tamika Jean Russavage

Individual provider Registered Nurse · NPI 1316768823

Tamika Jean Russavage is a Registered Nurse in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1807 S 60th St
Omaha, NE 68106-2151
Phone: (531) 299-1080
Fax: (531) 299-1099
Show map & directions

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

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence 69653 (NE)
Registered Nurse Taxonomy 163W00000X · Licence 69653 (NE)

Record details

NPI number1316768823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

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