JORDAN RUSSELL
NPI 1093311805
Registered Nurse in Charlestown, RI

Q: What is Jordan Russell's NPI number?

The NPI number for Jordan Russell is 1093311805. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Q: What is Jordan Russell's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Russell was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 07, 2020

4705 OLD POST RD, CHARLESTOWN, RI 02813(401) 364-7705 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jordan Russell NPPES

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

JORDAN RUSSELL (NPI 1093311805) is an individual registered nurse in Charlestown, Rhode Island, licensed in Rhode Island (RN62343) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1093311805

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameJORDAN RUSSELL

Location Address4705 OLD POST RDCharlestown, RI 02813-1841

Mailing Address426 Central AveJohnston, RI 02919-4710

Phone(401) 364-7705

Sole ProprietorNo

Enumeration DateDecember 7, 2020

NPPES CertifiedDecember 7, 2020

✔ NPI 1093311805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in RI · RN62343

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

4705 OLD POST RD, Charlestown, RI 02813

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEEN BURTIS KENNY RN

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)