Individual
MS. KEARSTIN K. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 W GORE ST STE 405, ORLANDO, FL 32806-1049
(321) 841-9340
(321) 841-9344
Mailing address
100 W GORE ST STE 405, ORLANDO, FL 32806-1049
(321) 841-9340
(321) 841-9344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9309748
FL
363LF0000X
Family Nurse Practitioner
AP131675
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9309748
FL
Other
Enumeration date
09/14/2016
Last updated
12/09/2021
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