Individual provider · Type 1 NPI

Cie Russell

Nurse Practitioner · Lubbock, TX

NPI number 1386200236 Active

Practice location

4004 82nd St
Lubbock, TX 79423-2065

Fax (806) 743-7651

Mailing address

1000 FM 300
Levelland, TX 79336-6235

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP140210 (TX)
Pediatric Nurse Practitioner 363LP0200XAP140210 (TX)

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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About NPI 1386200236

Cie Russell's National Provider Identifier is 1386200236, issued on May 16, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lubbock, TX. The record was last updated on Jun 25, 2026.