Individual
SARAH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2761 HIGHWAY 15, BAY SPRINGS, MS 39422-7432
(601) 764-2419
Mailing address
2761 HIGHWAY 15, BAY SPRINGS, MS 39422-7432
(601) 764-2419
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
908687
MS
363L00000X
Nurse Practitioner
Primary
906491
MS
Other
Enumeration date
03/04/2024
Last updated
03/12/2024
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