Jessica C Russell, P.A.
Physician Assistant in Burlington, VT. Individual provider (NPI-1).
NPI number1427361997
StatusActive
Last updated in NPPESJan 25, 2012
Details
- NPI
- 1427361997
- Entity type
- Individual (NPI-1)
- Name
- Jessica C Russell
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2010
- Last updated
- Jan 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 014111 | NY | Yes |
| 363A00000X | Physician Assistant | 055.0031118 | VT |
Other names
- Jessica C Simpson (Former Name)
Practice location
111 Colchester AveBurlington, VT 05401-1473
Phone 802-578-8566
Mailing address
111 Colchester AveBurlington, VT 05401-1473
Phone 802-578-8566
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All 65 Physician Assistant providers in Burlington · All 3,832 providers in Burlington
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