Russell Jann

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703109430 Issued in MI

Practice address

3091 Williamsburg Rd
Ann Arbor, MI 48108-2025

Phone

(734) 545-6062

NPI assigned

Mar 28, 2016

Sex

Male

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

State licenses

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1629430731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 WILLIAMSBURG RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082025",
            "telephone_number": "734-545-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 WILLIAMSBURG RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082025",
            "telephone_number": "734-545-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANN",
        "first_name": "RUSSELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703109430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Janisch, LLMSW
• Elizabeth A Janiuk
• Alexander T Janke, M.D.
• Ellen Lenore Janke, MD
• Monica Jean Janke, MD
• Bethany G Janssen, OTR/L
• Erin Margaret Janssen, MD
• Jennifer Janssen, LLMSW
• Paul S Jansson, MD
• Marcus Dominic Jarboe, MD

• Licensed Practical Nurse in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.