Russell, Jennifer

Russell, Jennifer is an sole proprietor health care provider with primary practice located at 3333 Capital Medical Blvd , Tallahassee FL 32308-4415. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Russell, Jennifer can be contacted via phone (872) 231-3162.

Contact Information

Primary practice address
3333 Capital Medical Blvd Tallahassee FL 32308-4415
Phone: (872) 231-3162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9198441 Florida

Profile Details

NPI number 1063758944
LBN Legal business name Russell, Jennifer
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2012
Last updated Oct 2nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063758944 NPPES
Florida Other ARNP9198441 MEDICAL LICENSE

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