Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jackie Marie Russo, NP
Nurse Practitioner in Miramar, FL · enumerated 2017.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1134643315
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Registry record
Entity type Individual (Type 1)
Name Jackie Marie Russo
Credential NP
Sex Female
Practice address 12600 Pembroke Rd Ste 310, Miramar, FL, 33027
Phone (954) 431-7681
Fax (954) 431-7682
Enumeration date Jul 31, 2017
Last updated in NPPES Mar 2, 2022
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License ARNP9295134 (FL) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority.
About the NP credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Jackie Russo practice?
The practice location on file with NPPES is in Miramar, FL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jackie Russo?
The National Provider Identifier (NPI) for Jackie Russo is 1134643315, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-02.