Individual
MRS. JESSICA MICHELLE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
303 S 5TH ST, PARIS, AR 72855-4501
(479) 963-2132
Mailing address
303 S 5TH ST, PARIS, AR 72855-4501
(479) 963-2132
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216420
AR
Other
Enumeration date
07/08/2021
Last updated
06/21/2022
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