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Organization
NAVAL HOSPITAL JACKSONVILLE
Active
Organization
NAVAL HOSPITAL JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY LOUISE RUSSELL FNP (NP)
(904) 542-7500
Entity
Organization
Contact information
Practice address
NAVAL HOSPITAL JACKSONVILLE, JACKSONVILLE, FL 32214-0001
(904) 542-7500
Mailing address
631 MADERA RD, CHESAPEAKE, VA 23322-8048
(757) 636-0296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024000076
VA
Other
Enumeration date
01/31/2006
Last updated
08/13/2008
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