Whitney Russell, RD | |
413 Little Creek Ct, Jacksonville, NC 28546-8737 | |
(757) 869-4255 | |
Not Available |
Full Name | Whitney Russell |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 413 Little Creek Ct, Jacksonville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1972156552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86024460 (* (Not Available)) | Primary |
Provider Name | Lwell Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700247780 PECOS PAC ID: 5294015004 Enrollment ID: O20161214001124 |
Mailing Address | Practice Location Address |
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Whitney Russell, RD 413 Little Creek Ct, Jacksonville, NC 28546-8737 Ph: (757) 869-4255 | Whitney Russell, RD 413 Little Creek Ct, Jacksonville, NC 28546-8737 Ph: (757) 869-4255 |
Aisha Ford, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-989-3971 | |
Monika Isabella Vicario, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 213 Shallowbag Bay Ln, Jacksonville, NC 28546 Phone: 919-985-0812 | |
Paula Hissett, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-347-2154 Fax: 910-347-2789 | |
Brooke Wiseman, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 401 Brunswick Dr, Jacksonville, NC 28546 Phone: 856-981-0800 | |
Mrs. Beth Ann Davis, MPA, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 317 Western Blvd, Onslow Memorial Hospital, Jacksonville, NC 28546 Phone: 910-577-4820 Fax: 910-577-2322 | |
Onslow County Health Dept Dietitian Medicare: Not Enrolled in Medicare Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-347-2154 Fax: 910-347-3165 | |
Mrs. Debra Gregory, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-347-2154 |