Individual provider · Type 1 NPI

Kasey Lynn Russell

Registered Nurse · Peoria, IL

NPI number 1356829295 Active

Practice location

221 NE Glen Oak Ave
Peoria, IL 61636-0001

Mailing address

114 N Olive St
Williamsfield, IL 61489-5005

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041413115 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1356829295

Kasey Lynn Russell's National Provider Identifier is 1356829295, issued on Aug 2, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Peoria, IL. The record was last updated on Aug 2, 2018.