Individual provider · Type 1 NPI
Mica Russell
Licensed Practical Nurse · Portsmouth, OH
NPI number
1801786538
Active
Practice location
2731 Hillview Dr
Portsmouth, OH 45662-2753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 129436 (OH) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1801786538
Mica Russell's National Provider Identifier is 1801786538, issued on Jul 4, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Portsmouth, OH. The record was last updated on Jul 4, 2025.