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Mr. Reginald Taylor Russell II, NP
Psychiatric/Mental Health Nurse Practitioner in Hampton, Virginia
NPI 1811121551

Reginald Taylor Russell II is a Psychiatric/Mental Health Nurse Practitioner based in Suffolk, VA and is specialized in Psychiatric/Mental Health. Reginald Taylor Russell II practices in Hampton, VA and has the professional credentials of NP. The NPI Number for Reginald Taylor Russell II is 1811121551 and holds a License No. 2008010430 (Virginia).

The current practice location address for Reginald Taylor Russell II is 1919 Commerce Dr, Hampton, VA and can be reached out via phone at 757-223-0500.

Location: 1919 Commerce Dr, Hampton, VA, 23434-2053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811121551
Provider Name
Reginald Taylor Russell II
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1919 Commerce Dr, Hampton, VA, 23434-2053
Phone Number
757-223-0500
Fax Number
Provider Enumeration Date
05/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1919 Commerce Dr
City
Hampton
State
Virginia
Zip
23666-4269
Phone Number
757-223-0500
Fax Number
person
Provider Business Mailing Address Details
Address
1919 Commerce Dr
City
Hampton
State
Virginia
Zip
23666-4269
Phone Number
757-223-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0024178243 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
Military Hospital
Speciality
-
Taxonomy
286500000X
License No.
()
Definition
A health care facility operated by the Department of Defense.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2008010430 (Virginia)
Definition
Definition to come...
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