Individual provider · Type 1 NPI
Kelly Russell, MSN, RN, FNP-BC
Nurse Practitioner · Boise, ID
Practice location
900 N Liberty St Ste 101
Boise, ID 83704-8858
Mailing address
PO Box 190930
Boise, ID 83719-0930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95008457 (CA) |
| Nurse Practitioner Primary | 363L00000X | 79075 (ID) |
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 1669938320
Kelly Russell, MSN, RN, FNP-BC's National Provider Identifier is 1669938320, issued on Feb 18, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Jun 29, 2026.