James Russell Love

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11015943 Issued in FL

Practice address

4717 Avon LN
Jacksonville, FL 32210-7503

Phone

(904) 514-3532

NPI assigned

Oct 24, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jimmy Russell Love Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635033600000",
    "number": "1437813730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 AVON LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107503",
            "telephone_number": "904-514-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 AVON LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107503",
            "telephone_number": "904-514-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-24",
        "last_updated": "2021-10-24",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "LOVE",
            "middle_name": "RUSSELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Love Peace and Serenity Home Care Services Inc
• Amber Lynn Love, PA
• Arecia Patrice Love, NURSING ASSISTANT
• Christopher Scott Love, M.D.
• Gwenivere Love, B.A.
• Love, Lola Therapeutic Massage LLC
• Pamela Florence Love, MD
• Patrice M. Love, BA
• R'Nisha Love
• Roderick Love

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.