Individual
JENNIFER S RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
13005 US HIGHWAY 301 S, RIVERVIEW, FL 33578-7439
(813) 875-8032
(813) 875-0227
Mailing address
2716 W VIRGINIA AVE, TAMPA, FL 33607
(813) 875-8032
(813) 875-0227
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS9837
FL
Other
Enumeration date
01/12/2007
Last updated
03/13/2015
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