IndividualActive
Russell Broxson, FNP BC
NPI 1295587293 · Family Nurse Practitioner · Jay, FL
Provider details
- NPI number
- 1295587293
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11031992 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
14114 Alabama St
Jay, FL 32565-1219
Phone: (850) 675-8000
Approximate (ZIP-level) locationGet directions
Mailing address
5228 Medicine Bow St
Milton, FL 32570-8149
Registry dates
- Enumerated
- 2024-04-03
- Last updated
- 2024-04-16
- Certified
- 2024-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.