| Jillian Russell Aprn LLC | |
|
5913 Ne 67th St Silver Springs FL 34488-1137 | |
| (407) 670-8218 | |
| Not Available |
| Full Name | Jillian Russell Aprn LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 5913 Ne 67th St, Silver Springs, Florida |
| Authorized Official Name and Position | Jillian Russell (PROVIDER) |
| Authorized Official Contact | 4076708218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Russell Aprn LLC 5913 Ne 67th St Silver Springs FL 34488-1137 Ph: (407) 670-8218 | Jillian Russell Aprn LLC 5913 Ne 67th St Silver Springs FL 34488-1137 Ph: (407) 670-8218 |
| NPI Number | 1760176341 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760176341 | NPI | - | NPPES |
| Q6X4V | Other | FL | BCBS |
| 18412200 | Medicaid | FL | |
| 0010398059 | Other | UHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Marion Rural Health,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15932 E Highway 40, Silver Springs, FL 34488 Phone: 352-625-7777 Fax: 352-625-1970 |
Premier Pediatrics Forest Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14141 E Highway 40 Unit B, Silver Springs, FL 34488 Phone: 352-512-0466 Fax: 352-512-0374 |
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