John Russell
Nurse Practitioner · Rockford, IL
UnclaimedNPI 1104237130
- Primary taxonomy
- 363L00000X
- Enumerated
- 2014-05-13
- Practice location
- Rockford, IL
- Last NPPES update
- 2021-11-26
State licenses
- IL · Nurse practitioner · NPPES self-reportedListed on NPI record
- IL · Nurse practitioner · NPPES self-reportedListed on NPI record
- IL · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.