MEDICARE: JERRICA RUSSELL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1588519920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRICA RUSSELL PA-C

Provider Business Mailing Address
First Line	:	1150 STATE HIGHWAY 248
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-3758
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 STATE HIGHWAY 248
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-3758
Country	:	US
Telephone Number	:	417-336-4112
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

Similar Medicare Providers

1386321826 — DR. CONNIE CELICIA ATCHISON DNP
Practice Location Address:

1150 STATE HIGHWAY 248
BRANSON, MO
65616-3758

Practice Phone: 471-336-4112
Practice Fax:

1881678688 — SKAGGS COMMUNITY HEALTH CENTER AND CLINICS
Practice Location Address:

1150 STATE HIGHWAY 248 , STE. 100
BRANSON, MO
65616-3758

Practice Phone: 417-336-4112
Practice Fax: 417-335-4684

1053355206 — JEREMY D MABE MD
Practice Location Address:

1150 STATE HIGHWAY 248 , STE. 202
BRANSON, MO
65616-3758

Practice Phone: 417-348-8964
Practice Fax: 417-336-0275

1629013966 — PETER R MARCELLUS MD
Practice Location Address:

1150 STATE HIGHWAY 248 , STE, 202
BRANSON, MO
65616-3758

Practice Phone: 417-335-7000
Practice Fax:

1487684015 — DR. JENNIFER L FREEMAN M.D.
Practice Location Address:

1150 STATE HIGHWAY 248 , SUITE 202
BRANSON, MO
65616-3758

Practice Phone: 417-348-8964
Practice Fax: 417-336-0275

1992894331 — MRS. BONNIE BLEVINS R.N.
Practice Location Address:

1150 STATE HIGHWAY 248 , SUITE 200
BRANSON, MO
65616-3758

Practice Phone: 417-336-4112
Practice Fax: 417-335-4684

Directions to “ JERRICA RUSSELL PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.