Jon Michael Russell
Jon Michael Russell is a Nurse Practitioner in Bradenton, Florida. Qualified in 2023, 3 years ago. Practices with Cooper Family Medical PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 3
- Licensed in
- FL
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
5123 4th Avenue Cir EBradenton, FL 34208-5620
Phone: (941) 744-5510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 11026893 (FL) |
|---|---|
| Critical Care Medicine Registered Nurse | Taxonomy 163WC0200X · Licence 9457376 (FL) |
Record details
| NPI number | 1942998513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 1, 2023 |
| Last updated in NPPES | July 5, 2023 |
| Certification date | July 5, 2023 |
| Mailing address | 5123 4th Avenue Cir E, Bradenton, FL 34208-5620 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Cooper Family Medical Pllc — 19 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Bradenton
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Amber Lee Haymore, FNP-C
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-
Natalya A Kollektsionova, CRNA
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-
Brent Adair Marquette, RN
2020 59th St W, Bradenton, FL 34209-4604 · (941) 798-6596