RUSSCHEL JANE JACKSON (NPI# 1649816281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649816281 |
| Entity Type | Individual |
| Full Name | RUSSCHEL JANE JACKSON |
| Credential | DNP |
| Practice Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
| Mailing Address |
11311 Grayfield Redford MI 48239-1451 |
| Practice Telephone | 2488982800 |
| Mailing Telephone | 3133031124 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 13550 | MO | Nursing Service Providers |
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
4704203865 | MI | Nursing Service Providers |
| Street Address |
3601 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155538 | Cheryl A Grain | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2005-06-23 |
| 1023617735 | Kevin Wilson Curtis | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-22 |
| 1164020939 | Chelsea Cloke | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-14 |
| 1073111258 | Jaimie Danno | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-11 |
| 1447857883 | Pamela Ann Boyd | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-08 |
| 1528675618 | Riya Kaur Kalra | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-23 |
| 1174139612 | Kostiantyn Romaniv | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-21 |
| 1538775325 | Adam L Hardy | Occupational Therapist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1164038964 | Patricia W Choi | Pharmacy | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1598377004 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396075578 | Dawn Marie Mitchell | Registered Nurse | 3811 W 13 Mile Rd, Royal Oak, MI 48073-6757 | 2010-01-11 |
| 1972147742 | Matilde Dino Ruppel | Registered Nurse | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-11-04 |
| 1790296010 | Adriene Lynn Avripas | Registered Nurse | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2017-10-13 |
| 1083138721 | Phillip Blaise Saffron | Registered Nurse | 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2017-08-02 |
| 1588188577 | Olubukola Akinbiyi | Registered Nurse | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2017-08-01 |
| 1679096465 | Julie Anne Westmoreland | Registered Nurse | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2017-07-24 |
| 1497001267 | Lisa Ann Dennis | Registered Nurse | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2012-07-31 |
| 1952681629 | Danny Thomas St Louis | Registered Nurse | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2011-08-25 |
| 1336462902 | Anne Marie Tobin | Registered Nurse | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274227 | Damita Ferguson | Registered Nurse | 14441 Northfield Blvd, Oak Park, MI 48237-1522 | 2020-10-30 |
| 1447868237 | Mohamad Abdul-nabi Cheaito | Registered Nurse | 22445 Heinze St, Dearborn, MI 48128-1323 | 2020-07-17 |
| 1437774288 | Elizabeth Marie Kirkpatrick | Registered Nurse | 600 Broadway Ave Nw Apt 432, Grand Rapids, MI 49504-7325 | 2020-06-08 |
| 1538782446 | Jose Ramon Sanchez-carrera | Registered Nurse | 13375 Village Park Dr Apt C4, Southgate, MI 48195-2769 | 2020-05-27 |
| 1003455981 | Dylan M Meyer | Registered Nurse | 1085 Kentwood St Ne, Grand Rapids, MI 49505-4837 | 2019-12-25 |
| 1366087140 | Amanda Marlene Oaks | Registered Nurse | 46087 Rhodes Dr, Macomb, MI 48044-4080 | 2019-11-15 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1396389839 | Adrian Danielle Williams | Registered Nurse | 23759 Stony Creek Dr, Farmington Hills, MI 48336-2231 | 2019-10-28 |
| 1003479429 | Elena Darby | Registered Nurse | 13994 Susanna Ct, Livonia, MI 48154-4988 | 2019-04-22 |
| 1841853223 | Tamara Yvette Smith | Registered Nurse | 173 Charles Ln, Pontiac, MI 48341-2928 | 2019-04-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.