Mrs. Kathleen Anne Russell
Nurse Practitioner - Adult Health
6400 Saint Johns Ave
Palatka
, Florida 32177-6817
Mrs. Kathleen Anne Russell
Nurse Practitioner - Adult Health
6400 Saint Johns Ave
Palatka
, Florida 32177-6817
(904) 279-2200
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Kathleen Anne Russell
- 6400 Saint Johns Ave
- Palatka, FL
- Zip : 32177-6817
- Phone : (904) 279-2200
Second Address
- Mrs. Kathleen Anne Russell
- 6400 Saint Johns Ave
- Palatka, FL
- Zip : 32177-6817
- Phone : (904) 279-2200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP 2172092 | FL |
National Provider Identifier
| NPI | 1023375276 |
|---|---|
| Provider Name | Mrs. Kathleen Anne Russell |
| First Address | Palatka, FL 32177-6817 |
| Second Address | Palatka, FL 32177-6817 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2012 |
| Last Update Date | 12/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.