Jacqueline Blake Russ

APRN | Nurse Practitioner | 6+ years Exp

Accepts Medicare Nurse Practitioner in Louisville, Kentucky.
Jacqueline Blake Russ is a Louisville, Kentucky based nurse practitioner with 6 years of experience in . She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jacqueline Blake Russ is 3012682 in Kentucky. Her current practice location is 4123 Dutchmans Ln Ste 307, Louisville. Patients can reach her at 502-409-5600 or can fax her at 502-259-3078. Jacqueline Blake Russ is APRN and her NPI number (Unique professional ID assigned by NPPES) is 1891279584.
Jacqueline Blake Russ 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:
Jacqueline Blake Russ speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jacqueline Blake Russ
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: APRN
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2018
Accepts Medicare Assignment:Yes
Practice Address:4123 Dutchmans Ln Ste 307, Louisville,
Kentucky, 40207-4721
Phone:502-409-5600
Fax:502-259-3078
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: 0749529980
Enrollment ID: I20190305002318
NPI Number: 1891279584
NPI Enumeration Date: 19 Sep, 2018
NPI Last Update On: 02 Apr, 2021

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Blake Russ are as mentioned below.
License NumberSpecializationStateStatus
3012682 KentuckyPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(180088)Louisville, KYAcute Care Hospital
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 Jacqueline Blake Russ is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Community Medical Associates Inc (7012811284)988
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jacqueline Blake Russ
Po Box 776351,
Chicago, Illinois
Zip: 60677-6351
Phone Number: 502-588-9490
Fax Number: 502-272-5116
Patients can reach Jacqueline Blake Russ at 4123 Dutchmans Ln Ste 307, Louisville, Kentucky or can call to book an appointment on 502-409-5600.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.