Individual
OCTAVIA ALEXANDRIA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
420 LOWELL DR SE STE 302, HUNTSVILLE, AL 35801-3762
(256) 265-1910
Mailing address
420 LOWELL DR SE STE 302, HUNTSVILLE, AL 35801-3762
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-185903
AL
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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