Individual provider · Type 1 NPI

Ensley Danielle Russell, FNP-BC

Adult Medicine Physician · Columbus, GA

NPI number 1598458440 Active

Practice location

710 Center St
Columbus, GA 31901-1527

Mailing address

6805 Gaines Creek Rd
Columbus, GA 31904-3324

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XRN191163 (GA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1598458440

Ensley Danielle Russell, FNP-BC's National Provider Identifier is 1598458440, issued on May 29, 2023. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Columbus, GA. The record was last updated on Jun 24, 2023.