Individual
ALLISON LEIGH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 E JOHNSON AVE, JONESBORO, AR 72401-1874
(870) 932-2800
(870) 932-1189
Mailing address
2712 E JOHNSON AVE, JONESBORO, AR 72401-1874
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A03445
AR
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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