Individual
JANET A. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1504 SPRINGHILL AVE, SUITE 1800, MOBILE, AL 36604-3207
(251) 434-3475
(251) 434-3837
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3475
(251) 434-3837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-063067
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000026650
—
AL
05
—
00121973
—
MS
01
—
51026650
BCBS
AL
Enumeration date
06/02/2006
Last updated
05/12/2015
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