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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RUSSELL JACKSON

Active Sole Proprietor

MR. RUSSELL JACKSON is a Transportation Network Company healthcare provider located in JACKSONVILLE, Florida. NPI 1619720935 is currently active in the NPPES registry. Verify at CMS.

Transportation Network Company · JACKSONVILLE, FL

Registration Details

NPI Number
1619720935
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2024 (2.3517422518183 yrs)
Last Updated
Apr 8, 2024
License
J2507244020 (FL)
Sole Proprietor
Yes

Practice Information

Address
2433 ADAMS LAKE BLVD
JACKSONVILLE, FL, 322212832
Browse FL providers · Browse ZIP 32221
Phone
3184049501
Primary Specialty
Transportation Network Company
342000000X

Other Transportation Network Company Providers in JACKSONVILLE, FL

Name Credential NPI
MS. DORIAN STEVENS 1023711934
MR. RONNIE WILLIAMS 1114620309
TAMEEKA DIANE DANIELS 1487343794
YOHAN GALIANO RAMIREZ 1356123954
KEVIN EBANKS 1538933353
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.