Individual provider · Type 1 NPI

Katelyn R. Russell, PMHNP-BC

Nurse Practitioner · Evansville, IN

NPI number 1619732633 Active

Practice location

7200 E Indiana St
Evansville, IN 47715-2753

Call (812) 476-7200 Map

Fax (812) 471-4514

Mailing address

PO Box 632281
Cincinnati, OH 45263-2281

Other practice locations

445 N Cross Pointe Blvd, Evansville, IN 47715-4010 · (812) 471-4611

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	28196825A (IN)
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	71014906A (IN)

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 1619732633

Katelyn R. Russell, PMHNP-BC's National Provider Identifier is 1619732633, issued on Feb 19, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Evansville, IN. The record was last updated on Apr 2, 2026.