Individual provider · Type 1 NPI

Debra G. Russell, FNP

Family Nurse Practitioner · Poplar Bluff, MO

NPI number 1255304440 Active

Practice location

225 Physicians Park Ste 203
Poplar Bluff, MO 63901-3921

Call (573) 686-4750 Map

Fax (573) 686-4753

Mailing address

PO Box 699
Poplar Bluff, MO 63902-0699

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XMO076908 (MO)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1255304440

Debra G. Russell, FNP's National Provider Identifier is 1255304440, issued on Feb 9, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Aug 31, 2012.