Individual
HILARY LYNN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5501 FORTUNES RIDGE DR STE P, DURHAM, NC 27713-6102
(919) 391-7202
Mailing address
1711 COUNTRY TRAILS DR, SAFETY HARBOR, FL 34695-2033
(727) 432-1074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13487
NC
363A00000X
Physician Assistant
PA9112671
FL
Other
Enumeration date
10/30/2019
Last updated
07/23/2025
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