Individual provider · Type 1 NPI

Angela Russell, LPN

Licensed Practical Nurse · Fort Stewart, GA

NPI number 1164412201 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5604

Call (912) 435-5680 Map

Mailing address

1831 Lawnwoods Dr
Hinesville, GA 31313-9481

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN060765 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1164412201

Angela Russell, LPN's National Provider Identifier is 1164412201, issued on Oct 27, 2005. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Stewart, GA. The record was last updated on Jul 13, 2026.