NPI 1356437024
Jenny S. Russell
Practice location
- Address
- 115 Walnut St., Ellington, MO 63638
- Phone
- (573) 663-3177
- Fax
- (573) 663-3188
- Mailing address
- PO Box 579, Ellington, MO 63638-0579
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1356437024
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Oct 2006
- Record last updated
- 8 Jul 2007
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.