Russell, James

Russell, James is an individual health care provider with primary practice located at 400 Sw 14Th Ave Ste 100 , Amarillo TX 79101-4140. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Russell, James can be contacted via phone (806) 337-4555.

Contact Information

Primary practice address
400 Sw 14Th Ave Ste 100 Amarillo TX 79101-4140
Phone: (806) 337-4555
Fax: (806) 337-4551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 564-160 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP110091 Texas

Profile Details

NPI number 1265471445
LBN Legal business name Russell, James
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265471445 NPPES
Texas MEDICAID 153899302

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