Individual provider · Type 1 NPI
Julie Russell, PMHCNS-BC
Adult Psychiatric/Mental Health Clinical Nurse Specialist · Centreville, VA
NPI number
1003145152
Active
Practice location
5597 Cedar Break Dr
Centreville, VA 20120-3329
Mailing address
443 Carlisle Dr Ste A
Herndon, VA 20170-5623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0809X | 0015000440 (VA) |
Adult Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
About NPI 1003145152
Julie Russell, PMHCNS-BC's National Provider Identifier is 1003145152, issued on Dec 21, 2009. The primary taxonomy on file is Adult Psychiatric/Mental Health Clinical Nurse Specialist (364SP0809X), and the practice location is in Centreville, VA. The record was last updated on Dec 21, 2009.