Russell, Judy Ann

Russell, Judy Ann is an sole proprietor health care provider with primary practice located at 13000 Bruce B Downs Blvd , Tampa FL 33612-4745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Russell, Judy Ann can be contacted via phone (813) 972-2000.

Contact Information

Primary practice address
13000 Bruce B Downs Blvd Tampa FL 33612-4745
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1016662 Florida

Profile Details

NPI number 1508968983
LBN Legal business name Russell, Judy Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated Jun 27th, 2012 - about 12 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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