Individual
CHASSIDY MERCEDES RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
901 AVENUE C, WEST POINT, GA 31833-1642
(762) 209-8009
Mailing address
4749 IRISH RED CT, UNION CITY, GA 30291-3480
(229) 942-5927
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2023127904
GA
Other
Enumeration date
01/15/2024
Last updated
03/31/2026
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