Chelsea Lynn Russell Valid NPI

Individual provider · Physician Assistant · Fort Walton Beach, FL

NPI

1962997650

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA9117653 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2018-06-26

Last updated

2023-10-06