Individual provider · Type 1 NPI

Felicia Lashay Russaw, CRNP

Nurse Practitioner · Birmingham, AL

NPI number 1194303818 Active

Practice location

1720 2nd Ave S # THT422
Birmingham, AL 35294-3326

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Other practice locations

  • 1201 11th Ave S, Birmingham, AL 35205-3423 · (205) 934-3411
  • 1802 6th Ave S, Birmingham, AL 35233-1932 · (205) 975-2363
  • 500 22nd St S, Birmingham, AL 35233-3110 · (205) 934-3411
  • 500 22nd St S, Birmingham, AL 35233-3110 · (205) 934-3411

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1-133495 (AL)
Nurse Practitioner Primary 363L00000X1-133495 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194303818

Felicia Lashay Russaw, CRNP's National Provider Identifier is 1194303818, issued on Apr 1, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Birmingham, AL. The record was last updated on Feb 1, 2024.