Jacqueline Marie Russell
PMHNP-BC | Nurse Practitioner - Psych/Mental Health
606 Medical Pkwy, Enterprise
Oregon, 97828-5140
541-426-4524
May or may not accept Medicare Nurse Anesthetist in Enterprise, Oregon.Jacqueline Marie Russell is a Enterprise, Oregon based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Jacqueline Marie Russell is 10013334 for Psych/Mental Health in Oregon. Her current practice location is 606 Medical Pkwy, Enterprise. Patients can reach her at 541-426-4524 or can fax her at 541-426-3035. Jacqueline Marie Russell is PMHNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1720673577.
Jacqueline Marie Russell provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jacqueline Marie Russell 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 Marie Russell |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP-BC |
| Practice Address: | 606 Medical Pkwy, Enterprise, Oregon, 97828-5140 |
| Phone: | 541-426-4524 |
| Fax: | 541-426-3035 |
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.
| NPI Number: | 1720673577 |
| NPI Enumeration Date: | 03 Mar, 2021 |
| NPI Last Update On: | 01 Mar, 2024 |
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 Marie Russell are as mentioned below.
| License Number | Specialization | State | Status | |
| 10013334 | Psych/Mental Health | Oregon | Primary | |
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 Marie Russell 79571 Leap Ln, Wallowa, Oregon |
| Zip: | 97885-7107 |
| Phone Number: | 503-899-3219 |
| Fax Number: | 541-426-3035 |
Patients can reach Jacqueline Marie Russell at
606 Medical Pkwy, Enterprise, Oregon or can
call to book an appointment on 541-426-4524.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.