Individual provider · Type 1 NPI

Carolyn Vetta Russell, MSN, RN, CFNP

Family Nurse Practitioner · Ruleville, MS

NPI number 1811082191 Active

Practice location

840 N Oak Ave
Ruleville, MS 38771-3227

Call (662) 756-2711 Map

Fax (662) 756-4114

Mailing address

121 Girl Scout Rd
Grenada, MS 38901-9283

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	143980 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1811082191

Carolyn Vetta Russell, MSN, RN, CFNP's National Provider Identifier is 1811082191, issued on Oct 4, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ruleville, MS. The record was last updated on Jul 8, 2007.