Individual provider · Type 1 NPI
Porche Russell, APRN
Family Nurse Practitioner · Hallsville, TX
NPI number
1760192462
Active
Practice location
159 Belle Riva Dr
Hallsville, TX 75650-6133
Other practice locations
- 703 E Marshall Ave, Longview, TX 75601-5500 · (903) 315-2729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1099955 (TX) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Hallsville
About NPI 1760192462
Porche Russell, APRN's National Provider Identifier is 1760192462, issued on Dec 2, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hallsville, TX. The record was last updated on Oct 22, 2024.