JANNELL CHAKAKHAN RUSSELL-WILLIAMS (NPI# 1265944979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265944979 |
| Entity Type | Individual |
| Full Name | JANNELL CHAKAKHAN RUSSELL-WILLIAMS |
| Practice Address |
400 Executive Center Dr West Palm Beach FL 33401-2917 |
| Mailing Address |
2194 Chickcharnies West Palm Beach FL 33411-5505 |
| Practice Telephone | 5614292401 |
| Mailing Telephone | 5615433050 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
9214052 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 EXECUTIVE CENTER DR |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467449504 | Mary M Colburn | Internal Medicine | 400 Executive Center Dr, Suite 102, West Palm Beach, FL 33401-2917 | 2005-10-04 |
| 1699220426 | Kemline Metellus Dorvil | Nurse Practitioner | 400 Executive Center Dr, Suite 110, West Palm Beach, FL 33401-2917 | 2016-08-22 |
| 1730546854 | The Good Life Treatment Center, LLC | Clinic/Center | 400 Executive Center Dr, Suite 106, West Palm Beach, FL 33401-2917 | 2016-01-20 |
| 1750752507 | Palm Beach Orthodontics Inc | Dentist | 400 Executive Center Dr, Suite 105, West Palm Beach, FL 33401-2917 | 2015-10-19 |
| 1629473913 | Little Smiles Dental of Palm Beach | Dentist | 400 Executive Center Dr, Ste 103, West Palm Beach, FL 33401-2917 | 2014-10-29 |
| 1669711370 | James Scampole | Chiropractor | 400 Executive Center Dr, Suite 202, West Palm Beach, FL 33401-2917 | 2013-02-01 |
| 1104196393 | Thomas P Floyd, Dmd, Pa | Clinic/Center | 400 Executive Center Dr, Suite 103, West Palm Beach, FL 33401-2917 | 2012-01-05 |
| 1255638961 | Mary M. Colburn, M.d., P.a. | Specialist | 400 Executive Center Dr, Suite 102, West Palm Beach, FL 33401-2917 | 2011-02-15 |
| 1730323007 | Scaps Medical, LLC | Internal Medicine | 400 Executive Center Dr, Suite 110, West Palm Beach, FL 33401-2917 | 2009-04-29 |
| 1346406105 | Carrol Ann Fenn | Dentist | 400 Executive Center Dr, Suite # 105, West Palm Beach, FL 33401-2917 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1699242289 | Latanya Hutton | Nurse Practitioner | 1320 Woodcrest Rd E, West Palm Beach, FL 33417-5751 | 2018-11-01 |
| 1609234525 | Jessica Ruiseco | Nurse Practitioner | 1117 N Olive Ave Ste 203, West Palm Beach, FL 33401-3520 | 2016-02-05 |
| 1821420597 | Jessica Leigh Kikla | Nurse Practitioner | 900 Osceola Dr, Suite 201, West Palm Beach, FL 33409-5000 | 2013-08-05 |
| 1932706165 | Nia Spicer | Nurse Practitioner | 2101 Vista Pkwy Ste 291, West Palm Beach, FL 33411-2706 | 2020-10-01 |
| 1528626587 | Family First Direct Primary Care LLC | Nurse Practitioner | 2247 Palm Beach Lakes Blvd Ste 206, West Palm Beach, FL 33409-3413 | 2019-06-04 |
| 1528532678 | Maria Paula Flores | Nurse Practitioner | 901 Village Blvd Ste 702, West Palm Beach, FL 33409-1947 | 2019-01-11 |
| 1689143422 | Sharissa Youngblood | Nurse Practitioner | 4847 David S Mack Dr, West Palm Beach, FL 33417-8023 | 2018-11-23 |
| 1720586860 | Champions for Healing LLC | Nurse Practitioner | 2054 Vista Pkwy Ste 400, West Palm Beach, FL 33411-6742 | 2018-01-23 |
| 1154839223 | Lynda Rivers | Nurse Practitioner | 8200 Okeechobee Blvd, West Palm Beach, FL 33411-2099 | 2018-01-11 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
Please comment or provide details below to improve the information on JANNELL CHAKAKHAN RUSSELL-WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.