Individual provider · Type 1 NPI

Nichelle Aquino Russell, AGNP-C

Nurse Practitioner · Fort Sam Houston, TX

NPI number 1437574415 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP125410 (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 1437574415

Nichelle Aquino Russell, AGNP-C's National Provider Identifier is 1437574415, issued on Feb 27, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jan 22, 2026.