Individual
MS. DEBRA LYNN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
24980 STATE STREET, PO DRAWER 519, ELBERTA, AL 36530
(251) 986-7301
(251) 986-5927
Mailing address
PO BOX 519, ELBERTA, AL 36530-0519
(251) 986-7301
(251) 986-5927
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1097550
AL
Other
Enumeration date
03/28/2013
Last updated
02/20/2020
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