Individual provider · Type 1 NPI
Juane Russell, FNP
Family Nurse Practitioner · Moore, OK
NPI number
1689578650
Active
Practice location
2128 Meench Dr
Moore, OK 73170-7494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 204742 (OK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689578650
Juane Russell, FNP's National Provider Identifier is 1689578650, issued on Oct 5, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moore, OK. The record was last updated on Oct 5, 2026.