Individual
DANIELLE LASHAWN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10573 CROSSBACK LN, LEHIGH ACRES, FL 33936-6682
(239) 271-8280
Mailing address
10573 CROSSBACK LN, LEHIGH ACRES, FL 33936-6682
(239) 402-7439
(239) 230-2964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11002344
FL
363LF0000X
Family Nurse Practitioner
APRN11002344
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11002344
FL
Other
Enumeration date
10/16/2019
Last updated
01/03/2026
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