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Search › Florida › 124Q00000X

Alisa Russell, RDH

NPI 1588190052 · on the registry since 2017

Practice

Address
2080 Child St
Bldg 964 Dental
Jacksonville, FL 32214
Phone
(904) 546-7175
Organisation at this address
Nh Jax
Nh Jacksonville
Nh Jacksonville
United States Navy
The Chesapeake Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
430

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida