Individual
JANINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
324 N QUEEN ST, KINSTON, NC 28501-4932
(252) 522-9800
Mailing address
324 N QUEEN ST, KINSTON, NC 28501-4932
(252) 522-9800
(252) 522-9854
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
E60332
CT
163WP0808X
Psychiatric/Mental Health Registered Nurse
E60332
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5021209
NC
Other
Enumeration date
01/10/2020
Last updated
12/30/2024
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