Russell, Reginald Taylor

Russell, Reginald Taylor is an sole proprietor health care provider with primary practice located at 1919 Commerce Dr , Hampton VA 23666-4269. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Hospitals / Military Hospital, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Russell, Reginald Taylor can be contacted via phone (757) 223-0500.

Contact Information

Primary practice address
1919 Commerce Dr Hampton VA 23666-4269
Phone: (757) 223-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 2008010430 Virginia
Hospitals / Military Hospital 286500000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024178243 Virginia

Profile Details

NPI number 1811121551
LBN Legal business name Russell, Reginald Taylor
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2009
Last updated Apr 4th, 2023 - about last year

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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