DAVID JOSEPH RUSSELL PMHNP NPI 1477167666

NPI Information

NPI: 1477167666
Provider Name: DAVID JOSEPH RUSSELL, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
17846 GLENWOOD RD
MANTECA, CA
ZIP 95336
Phone: (866) 931-2587
Get Directions

David Joseph Russell, PMHNP is a psychiatric/mental health nurse practitioner in Manteca, CA. David Joseph Russell, PMHNP NPI is 1477167666. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17846 GLENWOOD RD
MANTECA, CA
ZIP 95336-521
Phone: (866) 931-2587
Fax: (866) 380-0676

The NPI 1477167666 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/3/2020 and was last updated on 2/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95039943	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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