# MR. REGINALD TAYLOR RUSSELL II

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811121551
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | 2008010430 | VA | — |
| 286500000X | Military Hospital | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024178243 | VA | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 04/04/2023