Individual provider · Type 1 NPI
Daisy Grace Russ
Student in an Organized Health Care Education/Training Program · Clarkton, NC
NPI number
1003734328
Active
Practice location
1049 Mckinnon Rd
Clarkton, NC 28433-9235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1003734328
Daisy Grace Russ's National Provider Identifier is 1003734328, issued on Jul 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clarkton, NC. The record was last updated on Jul 6, 2026.