John Russell in Temple Terrace - Nurse Practitioner
John Russell - NPI 1770761348
John Russell is a Nurse Practitioner in Temple Terrace, Florida. John Russell practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for John Russell is 1770761348. The last update date is 2019-10-08.
John Russell's current location address is 12470 Telecom Dr Ste 300w, Temple Terrace, Florida. You can contact this provider via phone number 8138718200 and fax number 8133575501. The mailing address for John Russell is 12470 Telecom Dr Ste 300w, Temple Terrace, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Russell |
|---|---|
| Address | 12470 Telecom Dr Ste 300w, Temple Terrace, Florida |
| Phone Number | 8138718200 |
| Fax Number | 8133575501 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1770761348 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2019-10-08 |
Provider Mailing Address Detail
| Address | 12470 Telecom Dr Ste 300w |
|---|---|
| City | Temple Terrace |
| State | Florida (FL) |
| Post Code | 336370904 |
| Phone Number | 8138718200 |
| Fax Number | 8133575501 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | APRN1818802 |
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Definition: (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 certifi |
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What is the unique identification code assigned to John Russell by the Centers for Medicare & Medicaid Services?
The John Russell has been issued the NPI (National Provider Identifier) 1770761348. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John Russell is physically located?
The John Russell is situated at the following address: 12470 Telecom Dr Ste 300W, Temple Terrace, FL 336370904.
What is John Russell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Russell is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the John Russell receive its 1770761348 assignment from the Centers for Medicare & Medicaid Services?
The John Russell was assigned its 1770761348 by the Centers for Medicare & Medicaid Services on 2008-02-06.
As of what date was the information regarding John Russell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Russell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-10-08.