MRS. JEANNE MARIE RUSSART LPN
NPI 1083627491
Licensed Practical Nurse in Campbellsport, WI

Active since August 15, 2006
N1495 WILLOW LANE, JEANNE RUSSART, CAMPBELLSPORT, WI 53010(920) 533-4676 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Jeanne Marie Russart Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JEANNE MARIE RUSSART LPN (NPI 1083627491) is an individual licensed practical nurse in Campbellsport, Wisconsin, licensed in Wisconsin (31627031) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083627491
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JEANNE MARIE RUSSARTCredential: LPN
Location AddressN1495 WILLOW LANE, JEANNE RUSSARTCampbellsport, WI 53010
Mailing AddressN1495 Willow LaneCampbellsport, WI 53010 · (920) 533-4676
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083627491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WI · 31627031
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
N1495 WILLOW LANE, Campbellsport, WI 53010

Other Identifiers 1

Medicaid39893600WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanne Russart's NPI number?

The NPI number for Jeanne Russart is 1083627491. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Jeanne Russart located?

Jeanne Russart practices at N1495 Willow Lane Jeanne Russart, Campbellsport, WI 53010. The listed phone number is (920) 533-4676.

What is Jeanne Russart's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jeanne Russart was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.