Individual
DR. CHRISTEN MICHELE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7051 SOUTHPOINT PKWY S FL 3R, JACKSONVILLE, FL 32216-8713
(904) 398-2720
(904) 483-5650
Mailing address
7051 SOUTHPOINT PKWY S FL 3R, JACKSONVILLE, FL 32216-8713
(904) 398-2720
(904) 483-5650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC4460
FLORIDA LICENSE
FL
01
—
OPT002558
GEORGIA LICENSE
GA
Enumeration date
08/17/2009
Last updated
03/07/2023
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