Individual provider · Type 1 NPI

Earl D. Russell Jr., FNP

Family Nurse Practitioner · Brookhaven, MS

NPI number 1447412275 Active

Practice location

427 Highway 51 N
Brookhaven, MS 39601-2350

Call (601) 823-5301 Map

Fax (601) 833-8742

Mailing address

PO Box 5440
Brookhaven, MS 39603-5440

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR852034 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1447412275

Earl D. Russell Jr., FNP's National Provider Identifier is 1447412275, issued on Jul 2, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brookhaven, MS. The record was last updated on Jul 2, 2008.