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

Mr. Russell Wayne Tolliver

Individual provider Skilled Nursing Facility · NPI 1972796175

Mr. Russell Wayne Tolliver is a Skilled Nursing Facility in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

4083 Sunbeam Rd Apt 1409
Jacksonville, FL 32257-8993
Phone: (904) 733-1338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1972796175
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 21, 2007
Last updated in NPPESAugust 21, 2007

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