Whalio Doctors

NPI 1033799275

Jarrod Daun Russell, CNA

Practitioner Nurse's Aide Oklahoma City, OK

Practice location

Address
1746 NE 19th St, Oklahoma City, OK 73111-1439
Phone
(405) 900-3905

Registered specialties (3)

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence 37V975170419 (OK)
Personal Care Attendant
Nursing Service Related Providers Taxonomy 3747P1801X Licence 37V975170419 (OK)
Respite Care
Respite Care Facility Taxonomy 385H00000X Licence 37V975170419 (OK)

Registry record

NPI
1033799275
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Apr 2021
Record last updated
19 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.