BEVERLY RUSSELL, PA

Physician Assistant

Active Individual
NPI: 1568573947

Practice Address

1111 TENEYCK ST
Jackson, MI 49201

Phone: (517) 205-8940

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 5601004024 (MI)

Frequently Asked Questions

NPI 1568573947 is the National Provider Identifier for BEVERLY RUSSELL, PA, a Physician Assistant provider located in Jackson, MI. This NPI was enumerated on August 31, 2006.
BEVERLY RUSSELL, PA practices at 1111 TENEYCK ST, Jackson, MI 49201.

Quick Facts

NPI
1568573947
Type
Individual
Enumerated
Aug 31, 2006
Last Updated
Jan 4, 2021

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