Individual
MRS. DENISE BLACKARD RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
399 W CAMPBELL RD, SUITE 101, RICHARDSON, TX 75080-3595
(972) 238-1848
(972) 238-8735
Mailing address
399 W CAMPBELL RD, SUITE 101, RICHARDSON, TX 75080-3595
(972) 238-1848
(972) 238-8735
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP114207
TX
Other
Enumeration date
11/12/2009
Last updated
03/07/2023
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