Russell Stackhouse Md Pa is a Foot and Ankle Orthopedic 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 has orthopaedic surgeons who deals 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 Profile:
Russell Stackhouse Md Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Foot and Ankle 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.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.