Maywood, Linda Russell

Maywood, Linda Russell is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Pediatrics, Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Maywood, Linda Russell can be contacted via phone (904) 697-3600.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Phone: (904) 697-3600
Fax: (904) 697-3927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 326859 California
Nursing Service Providers / Pediatrics 163WP0200X 88083 California
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4652 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9340525 Florida

Profile Details

NPI number 1770772477
LBN Legal business name Maywood, Linda Russell
Credentials RN NP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2007
Last updated Sep 3rd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770772477 NPPES
California Other 4652 CA BOARD/ REGISTER NURSES
California MEDICAID HSP40727F CA BOARD/ REGISTER NURSES
California Other 88083 CA BOARD/ REGISTER NURSES

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