Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN RUSSELL
ActiveJOHN RUSSELL is a Nurse Practitioner healthcare provider located in ROCKFORD, Illinois. NPI 1104237130 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ROCKFORD, IL
Registration Details
- NPI Number
- 1104237130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2014 (12.268942311893 yrs)
- Last Updated
- Nov 26, 2021
- Licenses
-
209-011657 (IL)041.368559 (IL)277-000310 (IL)
Practice Information
- Address
-
1340 CHARLES STSUITE 300ROCKFORD, IL, 61104Browse IL providers · Browse ZIP 61104
- Phone
- 7796968800
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| MS. KATHLEEN EDNA WILLIAMS | APRN | 1063418143 |
| REBECCA ZIMMERMAN | N.P. | 1255330635 |
| MRS. CHRISTINE KRAUSE | A.P.N. | 1801886890 |
| LUCY MARTIN | — | 1285606970 |
| MRS. JACQUELINE G MAY | NP | 1699715706 |
| MRS. MONICA L LYNCH | APN | 1295779171 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.