Individual provider · Type 1 NPI
Raquelle Monique Russell
Psychiatric/Mental Health Nurse Practitioner · Canton, OH
NPI number
1306095443
Active
Practice location
4450 Belden Village St NW Ste 306
Canton, OH 44718-2588
Fax (330) 476-2573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.0040868 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1306095443
Raquelle Monique Russell's National Provider Identifier is 1306095443, issued on Sep 12, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Canton, OH. The record was last updated on Dec 29, 2025.