Jackie Marie Russo

NP | Nurse Practitioner | 9+ years Exp

12600 Pembroke Rd Ste 310, Miramar
  Florida, 33027-2544
954-431-7681
Accepts Medicare Nurse Anesthetist in Miramar, Florida.
Jackie Marie Russo is a Miramar, Florida based nurse practitioner with 9 years of experience in . She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jackie Marie Russo is ARNP9295134 in Florida. Her current practice location is 12600 Pembroke Rd Ste 310, Miramar. Patients can reach her at 954-431-7681 or can fax her at 954-431-7682. Jackie Marie Russo is NP and her NPI number (Unique professional ID assigned by NPPES) is 1134643315.
Jackie Marie Russo has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jackie Marie Russo speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jackie Marie Russo
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: NP
Experience: 9+ years
Medical School Attended:Other
Graduation Year:2016
Accepts Medicare Assignment:Yes
Practice Address:12600 Pembroke Rd Ste 310, Miramar,
Florida, 33027-2544
Phone:954-431-7681
Fax:954-431-7682
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9032479597
Enrollment ID: I20180201002707
NPI Number: 1134643315
NPI Enumeration Date: 31 Jul, 2017
NPI Last Update On: 02 Mar, 2022

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackie Marie Russo are as mentioned below.
License NumberSpecializationStateStatus
ARNP9295134 FloridaPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Jackie Marie Russo is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Dermatology Consultants Pa (7214948124)3
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jackie Marie Russo
12600 Pembroke Rd Ste 310,
Miramar, Florida
Zip: 33027-2544
Phone Number: 954-431-7681
Fax Number: 954-431-7682
Patients can reach Jackie Marie Russo at 12600 Pembroke Rd Ste 310, Miramar, Florida or can call to book an appointment on 954-431-7681.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.