Earl D Russell is a Family in Brookhaven, Mississippi. Earl D Russell practices all healthcare services and medical treatments related to Family. The NPI Number for Earl D Russell is 1447412275. The last update date is 2008-07-02.
Earl D Russell's current location address is 427 Highway 51 N, Brookhaven, Mississippi. You can contact this provider via phone number 6018235301 and fax number 6018338742. The mailing address for Earl D Russell is 427 Highway 51 N, Brookhaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earl D Russell |
|---|---|
| Address | 427 Highway 51 N, Brookhaven, Mississippi |
| Phone Number | 6018235301 |
| Fax Number | 6018338742 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1447412275 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 427 Highway 51 N |
|---|---|
| City | Brookhaven |
| State | Mississippi (MS) |
| Post Code | 396012350 |
| Phone Number | 6018235301 |
| Fax Number | 6018338742 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R852034 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R852034 | MS | MS LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Earl D Russell by the Centers for Medicare & Medicaid Services?
The Earl D Russell has been issued the NPI (National Provider Identifier) 1447412275 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Earl D Russell is located?
The Earl D Russell is situated at the following address: 427 Highway 51 N, Brookhaven, MS, 396012350.
What is the area of specialization for Earl D Russell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Earl D Russell is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
When did the Earl D Russell receive its 1447412275?
The Earl D Russell was issued its 1447412275 on 2008-07-02, which is the date when the organization was assigned this unique identifier.
When was the Earl D Russell's information last updated?
The Earl D Russell's information was last updated on 2008-07-02.
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