MiscSubjects

DAVID RUSSELL PMHNP

DR
DAVID RUSSELL PMHNP

Clinician

npi
1477167666
status
A
address
4545 GEORGETOWN PL STE D, STOCKTON, CA, 952076229
license
95039943
taxonomy
Nurse Practitioner, Psych/Mental Health
last updated
2026-04-21
license state
CA
taxonomy code
363LP0808X
sole proprietor
YES
enumeration date
2020-09-03
enumeration type
NPI-1
practice locations
20
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

Connected objects

Nurse Practitioner, Psych/Mental Health · has profession

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