Individual
NINA MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
802 W EVANS ST STE B, FLORENCE, SC 29501-3440
(843) 702-6155
(843) 702-6158
Mailing address
2109 SANDERLING DR APT E, FLORENCE, SC 29505-3813
(843) 687-9612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19366
SC
Other
Enumeration date
03/27/2015
Last updated
01/03/2026
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