Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johanna Mercedez Russell, APRN

Individual provider Family Nurse Practitioner · NPI 1205308640

Johanna Mercedez Russell, APRN is a Family Nurse Practitioner in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2018
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

425 N Lee St Ste 104
Jacksonville, FL 32204-1128
Phone: (904) 427-1250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 121 Whitehall Dr, St Augustine, FL 32086-5266 — (904) 825-4500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11001221 (FL)

Record details

NPI number1205308640
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedDecember 26, 2018
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023

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