Individual provider · Type 1 NPI
Jon Michael Russell
Nurse Practitioner · Bradenton, FL
Practice location
5123 4th Avenue Cir E
Bradenton, FL 34208-5620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 9457376 (FL) |
| Nurse Practitioner Primary | 363L00000X | 11026893 (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 1942998513
Jon Michael Russell's National Provider Identifier is 1942998513, issued on May 1, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bradenton, FL. The record was last updated on Jul 5, 2023.