Individual provider · Type 1 NPI

Shirley Louise Russell, ARNP

Nurse Practitioner · Jacksonville, FL

NPI number 1780625244 Active

Practice location

5915 Normandy Blvd
Jacksonville, FL 32205-6200

Call (904) 378-0121 Map

Fax (904) 378-0122

Mailing address

8711 Perimeter Park Blvd, Suite 6
Jacksonville, FL 32216-6388

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	ARNP 9229120 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1780625244

Shirley Louise Russell, ARNP's National Provider Identifier is 1780625244, issued on Jun 8, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 20, 2007.