Russell Stackhouse Md Pa is a Orthopaedic Surgery (Foot and Ankle Surgery) Clinic in Fernandina, Florida. It is situated at 6 S 14th St, Fernandina and its contact number is 904-261-5741. The authorized person of Russell Stackhouse Md Pa is Nichole Rene Barnett
who is Practice Administrator of the clinic and their contact number is 904-261-5741. Primary license number for Russell Stackhouse Md Pa is ME117902 (Ophthalmology) in Florida. Russell Stackhouse Md Pa Clinic Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Complete Clinic Profile:
Russell Stackhouse Md Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Specialization:
Foot and Ankle Surgery, Orthopaedic Surgery
Clinic Address:
6 S 14th St, Fernandina, Florida, 32034-3212
Phone:
904-261-5741
Fax:
904-261-7383
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Nichole Rene Barnett
Position:
Practice Administrator
Contact Number:
904-261-5741
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Russell Stackhouse Md Pa Clinic are as mentioned below.
NPI Number:
1538655014
NPI Enumeration Date:
08 Jul, 2018
NPI Last Update On:
13 Dec, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Stackhouse Md Pa are as mentioned below.
Specialization
License Number
State
Status
Ophthalmology
ME117902
Florida
Primary
Foot and Ankle Surgery
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
070583
Other
Date Of Birth
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Russell Stackhouse Md Pa 6 S 14th St, Fernandina, Florida
Zip:
32034-3212
Phone Number:
904-261-5741
Fax Number:
904-261-7383
Patients can reach Russell Stackhouse Md Pa at 6 S 14th St, Fernandina, Florida or can call to book an appointment on 904-261-5741. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.