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JESSICA RUSSELL LPN
NPI 1205765179
Licensed Practical Nurse in Olympia, WA

Active since May 18, 2026
1910 BLACK LAKE BLVD SW, OLYMPIA, WA 98512(360) 706-8771 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Russell Lpn NPPES

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

JESSICA RUSSELL LPN (NPI 1205765179) is an individual licensed practical nurse in Olympia, Washington, licensed in Washington (LP60045967) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1205765179
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSICA RUSSELLCredential: LPN
Location Address1910 BLACK LAKE BLVD SWOlympia, WA 98512-5651
Mailing AddressPo Box 1123Tenino, WA 98589-1123
Phone(360) 706-8771
Sole ProprietorYes
Enumeration DateMay 18, 2026
NPPES CertifiedMay 17, 2026
✔ NPI 1205765179 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 WA · LP60045967
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.
1910 BLACK LAKE BLVD SW, Olympia, WA 98512
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Other Providers at the Same Location NPPES 3

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

MRS. CHRISTINA LYNN KRESSIN RN, IBCLC
Registered Nurse (Lactation Consultant)
1910 BLACK LAKE BLVD SW
OLYMPIA, WA 98512
Thurston County (360) 706-8771
JENNIFER LEE ASH ND
Naturopath
1910 BLACK LAKE BLVD SW
OLYMPIA, WA 98512
Thurston County (360) 357-1470
KAREN FEELEY D C
Clinic/Center (Health Service)
1910 BLACK LAKE BLVD SW
OLYMPIA, WA 98512
Thurston County (360) 561-4238

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 Jessica Russell's NPI number?

The NPI number for Jessica Russell is 1205765179. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Jessica Russell located?

Jessica Russell practices at 1910 Black Lake Blvd SW, Olympia, WA 98512. The listed phone number is (360) 706-8771.

What is Jessica Russell'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 Jessica Russell was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.