person
David Joseph Russell, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Manteca, California
NPI 1477167666

David Joseph Russell is a Psychiatric/Mental Health Nurse Practitioner based in Manteca, CA and is specialized in Psychiatric/Mental Health. David Joseph Russell practices in Manteca, CA and has the professional credentials of PMHNP. The NPI Number for David Joseph Russell is 1477167666 and holds a License No. 95039943 (California).

The current practice location address for David Joseph Russell is 17846 Glenwood Rd, Manteca, CA and can be reached out via phone at 866-931-2587 and via fax at 866-380-0676.

Location: 17846 Glenwood Rd, Manteca, CA, 95336-9521
person
Provider Profile Details
NPI Number
1477167666
Provider Name
David Joseph Russell
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
17846 Glenwood Rd, Manteca, CA, 95336-9521
Phone Number
866-931-2587
Fax Number
866-380-0676
Provider Enumeration Date
09/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17846 Glenwood Rd
City
State
Zip
95336-9521
Phone Number
866-931-2587
Fax Number
866-380-0676
person
Provider Business Mailing Address Details
Address
17846 Glenwood Rd
City
State
Zip
95336-9521
Phone Number
866-931-2587
Fax Number
866-380-0676
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95039943 (California)
Definition
Definition to come...
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