Individual
CALLYE ELAINE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
5702 E CENTRAL TEXAS EXPY, KILLEEN, TX 76543-5500
(254) 699-8521
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP141057
TX
Other
Enumeration date
03/19/2019
Last updated
03/01/2023
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