Jennifer Inez McLean-Russ, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

5016126 Issued in NC

Practice address

3622 Lyckan Pkwy Ste 4006
Durham, NC 27707-2566

Phone

(919) 390-1398

Fax

(919) 910-5668

NPI assigned

Apr 11, 2022

Last updated

Aug 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brinkley Brown Mental Wellness PLLCGroup PAC ID 3173917010, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brinkley Brown Mental Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apex, NC
  • NPI 1821697293

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Provisions2Live Behavioral Health PLLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Durham, NC
  • NPI 1073255055

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1083356059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 4006",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072566",
            "telephone_number": "919-390-1398",
            "fax_number": "919-910-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY STE 4006",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072566",
            "telephone_number": "919-390-1398",
            "fax_number": "919-910-5668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "554 N Main St Ste 103",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245923283",
            "country_code": "US",
            "telephone_number": "919-390-1398",
            "fax_number": "984-278-6614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN-RUSS",
        "first_name": "JENNIFER",
        "middle_name": "INEZ",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5016126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin McLaughlin, D.C.
• Olivia Rosemarie McLaughlin, LCSWA
• Daniel Scott McLaurin
• Linda Faye McLaurin
• Lisa McLaurin
• Faith Diane McLean, ATC
• Heather S McLean, MD
• Jeneya Kalimah Garrett McLean, LCSW
• Luisa Fernanda McLean, DO
• Ronald Kent McLear, M.D.

• Psychiatric/Mental Health Clinical Nurse Specialist in Durham, NC
• Providers in Durham, NC by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.