Russell, Jon Michael

Russell, Jon Michael is an individual health care provider with primary practice located at 5123 4Th Avenue Cir E , Bradenton FL 34208-5620. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Russell, Jon Michael can be contacted via phone (941) 744-5510.

Contact Information

Primary practice address
5123 4Th Avenue Cir E Bradenton FL 34208-5620
Phone: (941) 744-5510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 9457376 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11026893 Florida

Profile Details

NPI number 1942998513
LBN Legal business name Russell, Jon Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2023
Last updated Jul 5th, 2023 - about 3 years ago

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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