Jean Russo is a Licensed Practical Nurse in Lisbon, New York. Jean Russo practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Jean Russo is 1720100233. The last update date is 2007-07-08.
Jean Russo's current location address is 71 Keyes Rd, Lisbon, New York. You can contact this provider via phone number 3153937732. The mailing address for Jean Russo is 71 Keyes Rd, Lisbon, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Russo |
|---|---|
| Address | 71 Keyes Rd, Lisbon, New York |
| Phone Number | 3153937732 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1720100233 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 71 Keyes Rd |
|---|---|
| City | Lisbon |
| State | New York (NY) |
| Post Code | 136583204 |
| Phone Number | 3153937732 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 278222-1 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the Jean Russo's unique identification number?
The Jean Russo has been assigned the NPI (National Provider Identifier) Number 1720100233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jean Russo is physically located?
The Jean Russo is physically situated at the following address: 71 Keyes Rd, Lisbon, NY, 136583204.
What is Jean Russo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jean Russo's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720100233 to Jean Russo?
The Centers for Medicare & Medicaid Services originally issued the 1720100233 to Jean Russo on 2007-04-04.
As of what date were the details pertaining to Jean Russo last refreshed?
The information related to the Jean Russo, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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