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Individual

BAILEY J RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3620
(239) 343-5000
Mailing address
9885 MAR LARGO CIR, FORT MYERS, FL 33919-7326
(239) 989-8523

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9570449
FL
363LF0000X
Family Nurse Practitioner
Primary
11048337
FL

Other

Enumeration date
08/14/2023
Last updated
06/12/2026
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