Individual provider · Type 1 NPI
Shannon Russell
Nurse Practitioner · Springfield, MO
Practice location
1001 E Primrose St
Springfield, MO 65807-5155
Mailing address
PO Box 9007
Springfield, MO 65808-9007
Other practice locations
- 3800 S National Ave Ste 605, Springfield, MO 65807-5209 · (417) 875-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2014032487 (MO) |
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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- Darion McCorkell, FNPNurse Practitioner Springfield, MO NPI 1033036132
- Misty D. Glenn, FNP-CNurse Practitioner Springfield, MO NPI 1033501374
- Lisa Jo Moore, NP-CNurse Practitioner Springfield, MO NPI 1033718903
About NPI 1265833909
Shannon Russell's National Provider Identifier is 1265833909, issued on Sep 12, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, MO. The record was last updated on Sep 1, 2026.