Lynn Ann Nelson Russom, RNC,MSN,CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

UP000904C Issued in PA

Practice address

Widener University Student Health Services
One University Place
Chester, PA 19013

Phone

(610) 499-1183

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043423064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 WESTVIEW AVE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822810",
            "telephone_number": "610-449-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WIDENER UNIVERSITY STUDENT HEALTH SERVICES",
            "address_2": "ONE UNIVERSITY PLACE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-499-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON RUSSOM",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "credential": "RNC,MSN,CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "UP000904C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nannies Helping Hands
• Margart Nathans, COUNSELOR
• Mohammed Talat Nawas, MD
• Muhammad Aslam Naz, M.D
• Esther N Nchore
• New Hope Community Medical Care LLC
• New Image Optical
• Next Step Quality Home Care
• Tien Nguyen, PHARM. D
• David Wayne Nichols, MSHS

• Adult Health Nurse Practitioner in Chester, PA
• Providers in Chester, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.