Jennifer Russell, DDS

NPI 1508375130 · on the registry since 2017

Practice

Address: 2851 University Ave
Green Bay, WI 54311
Phone: (920) 431-2500
Organisation at this address: Milwaukee Vamc
Milwaukee Vamc
Milo C. Huempfner Cboc
Us Department Of Veteran Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 71

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 390200000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-02-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin