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

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1099955 (TX)

Family Nurse Practitioner: Definition to come...

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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.