Individual
MS. JENNIFER RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3333 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4415
(872) 231-3162
Mailing address
PO BOX 7410884, CHICAGO, IL 60674-0884
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9198441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9198441
MEDICAL LICENSE
FL
Enumeration date
12/20/2012
Last updated
10/02/2025
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