John Russell is a Rockford, Illinois based nurse practitioner. Active license number of John Russell is 277-000310 in Illinois. His current practice location is 1340 Charles St, Suite 300, Rockford. Patients can reach him at 779-696-8800 and his NPI number (Unique professional ID assigned by NPPES) is 1104237130. John Russell has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
John Russell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
John Russell
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Practice Address:
1340 Charles St, Suite 300, Rockford, Illinois, 61104
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1104237130
NPI Enumeration Date:
13 May, 2014
NPI Last Update On:
26 Nov, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Russell are as mentioned below.
License Number
Specialization
State
Status
277-000310
Illinois
Primary
209-011657
Nurse Practitioner
Illinois
Secondary
041.368559
Registered Nurse
Illinois
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
John Russell Po Box 78866, Milwaukee, Wisconsin
Zip:
53278-8866
Phone Number:
779-696-7150
Fax Number:
779-696-7342
Patients can reach John Russell at 1340 Charles St, Suite 300, Rockford, Illinois or can call to book an appointment on 779-696-8800.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.