Childers, Jennifer Russ

Childers, Jennifer Russ is an individual health care provider with primary practice located at 121 W Macclenny Ave , Macclenny FL 32063-2029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Childers, Jennifer Russ can be contacted via phone (904) 259-6380.

Contact Information

Primary practice address
121 W Macclenny Ave Macclenny FL 32063-2029
Phone: (904) 259-6380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN3253932 Florida

Profile Details

NPI number 1831643485
LBN Legal business name Childers, Jennifer Russ
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2016
Last updated Nov 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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