Russell, Chelsea Lynn

Russell, Chelsea Lynn is an individual health care provider with primary practice located at 362 Beal Pkwy N Ste 105 , Fort Walton Beach FL 32548-3926. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Russell, Chelsea Lynn can be contacted via phone (850) 862-3020.

Contact Information

Primary practice address
362 Beal Pkwy N Ste 105 Fort Walton Beach FL 32548-3926
Phone: (850) 862-3020
Fax: (850) 862-1363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X PA11842 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0860 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9117653 Florida

Profile Details

NPI number 1962997650
LBN Legal business name Russell, Chelsea Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2018
Last updated Oct 6th, 2023 - about 2 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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