Individual provider · Type 1 NPI
Stephanie Nicole Russell, AGPCNP
Nurse Practitioner · Elmira, NY
Practice location
200 Madison Ave Ste 2D
Elmira, NY 14901-3219
Fax (607) 873-1833
Mailing address
571 Saint Josephs Blvd Fl 2
Elmira, NY 14901-3230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 308433 (NY) |
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…
2 other providers at this address
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About NPI 1629598370
Stephanie Nicole Russell, AGPCNP's National Provider Identifier is 1629598370, issued on Jun 23, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elmira, NY. The record was last updated on Nov 30, 2020.