Individual provider · Type 1 NPI

Odia O'Dela Russette, FNP

Family Nurse Practitioner · Texarkana, TX

NPI number 1205292968 Active

Practice location

2600 Saint Michael Dr
Texarkana, TX 75503-5220

Call (903) 614-1000 Map

Other practice locations

  • 800 E Dawson St, Tyler, TX 75701-2036 · (903) 606-7264
  • 1920 Galleria Oaks Dr, Texarkana, TX 75503-4619 · (903) 792-6114

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP129999 (TX)
Family Nurse Practitioner Primary 363LF0000XAP129999 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1205292968

Odia O'Dela Russette, FNP's National Provider Identifier is 1205292968, issued on Jan 12, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Texarkana, TX. The record was last updated on Sep 4, 2024.