Naval Hospital Jacksonville

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024000076 Issued in VA

Legal business name

NAVAL HOSPITAL JACKSONVILLE

Practice address

Naval Hospital Jacksonville
Jacksonville, FL 32214-0001

Phone

(904) 542-7500

NPI assigned

Jan 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley Louise Russell, FNP

Title

NP

Phone

(904) 542-7500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1780655373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 MADERA RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228048",
            "telephone_number": "757-636-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL JACKSONVILLE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322140001",
            "telephone_number": "904-542-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HOSPITAL JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "904-542-7500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024000076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naval Hospital at Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Jacksonville
• Naval Hospital Nas Jacksonville Pharmacy Dept
• Naval Medical Center San Diego
• Naval Medical Center San Diego

• 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 Aug 13, 2008; 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.