Individual
SHEKEITHA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 HIGHWAY 280, ALEXANDER CITY, AL 35010-3679
(256) 414-3013
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 545-5088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-121383
AL
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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