Individual
MRS. KRISTEN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 EAST WOOD ST SUITE 100, SPARTANBURG, SC 29303
(864) 583-1222
Mailing address
100 E WOOD ST STE 100, SPARTANBURG, SC 29303-3001
(864) 583-1222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012945
KY
363LF0000X
Family Nurse Practitioner
3012945
KY
363LF0000X
Family Nurse Practitioner
Primary
RXF27267
SC
Other
Enumeration date
12/23/2018
Last updated
02/11/2026
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