Jenna Russom, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC989 Issued in FL

Practice address

1535 Gale Lemerand Dr
Gainesville, FL 32610-3008

Phone

(352) 265-0725

NPI assigned

Sep 15, 2026

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

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1134030422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 GALE LEMERAND DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GALE LEMERAND DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103008",
            "telephone_number": "352-265-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSOM",
        "first_name": "JENNA",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "FL",
            "license": "GC989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa-Kay Russell
• Peggy Russell, PHD
• Jacqueline Jaudon Russo, M.D.
• Matthew Gerrard Russo
• Michael Russo
• Lauren Rustad
• Mark Alan Rustemier, M.D.
• Rustlewood Emergency Physicians LLC
• Cindy R Ruszala, M.D.
• Kirsten Elizabeth Rutenberg, CCC/SLP

• Genetic Counselor (M.S.) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Genetic Counselor (M.S.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.