Individual provider · Type 1 NPI

Leslie Larae Russell-Brockett, ANP

Acute Care Nurse Practitioner · Temple, TX

NPI number 1700890993 Active

Practice location

2401 S 31st St
Temple, TX 76508-0001

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X661273 (TX)
Acute Care Nurse Practitioner 363LA2100X661273 (TX)
Acute Care Nurse Practitioner Primary 363LA2100XAP114563 (TX)

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About NPI 1700890993

Leslie Larae Russell-Brockett, ANP's National Provider Identifier is 1700890993, issued on Jul 27, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Temple, TX. The record was last updated on Dec 23, 2021.