Individual
MS. ENSLEY DANIELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1000
Mailing address
6805 GAINES CREEK RD, COLUMBUS, GA 31904-3324
(334) 703-0795
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
RN191163
GA
Other
Enumeration date
05/29/2023
Last updated
06/24/2023
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