Individual
AMY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 345-7776
(904) 345-7772
Mailing address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 345-7776
(904) 345-7772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9233019
FL
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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