JOHANNA MERCEDEZ RUSSELL

JACKSONVILLE, FL
NPI1205308640
Professional NameJOHANNA RUSSELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11001221)
Enumeration Date2018-12-26
Last Update Date2023-10-02
Business Address
JOHANNA MERCEDEZ RUSSELL APRN
425 N LEE ST STE 104
JACKSONVILLE, FL 32204-1128
Phone number: 904-427-1250
Mailing Address
JOHANNA MERCEDEZ RUSSELL APRN
425 N LEE ST STE 104
JACKSONVILLE, FL 32204-1128
Phone number: 904-427-1250