Russell, John

Russell, John is an individual health care provider with primary practice located at 12470 Telecom Dr Ste 300W , Temple Terrace FL 33637-0904. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Russell, John can be contacted via phone (813) 871-8200.

Contact Information

Primary practice address
12470 Telecom Dr Ste 300W Temple Terrace FL 33637-0904
Phone: (813) 871-8200
Fax: (813) 357-5501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN1818802 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1818802 Florida

Profile Details

NPI number 1770761348
LBN Legal business name Russell, John
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2008
Last updated Oct 8th, 2019 - about 6 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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