Individual provider · Type 1 NPI
Kelly Shannon Russell, APRN-CNP
Women's Health Nurse Practitioner · Allen, OK
NPI number
1538375233
Active
Practice location
200 N Easton
Allen, OK 74825-9713
Mailing address
200 Easton Street
Allen, OK 74825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 0050643 (OK) |
| Women's Health Nurse Practitioner Primary | 363LW0102X | 0050643 (OK) |
Women's Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1538375233
Kelly Shannon Russell, APRN-CNP's National Provider Identifier is 1538375233, issued on May 16, 2007. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Allen, OK. The record was last updated on Jan 14, 2019.