Individual provider · Type 1 NPI

Candice Russell, APN

Psychiatric/Mental Health Nurse Practitioner · Newark, NJ

NPI number 1922856202 Active

Practice location

550 Mayor Gibson Blvd Ste 606
Newark, NJ 07102-4537

Call (201) 822-1161 Map

Mailing address

201 Lyons Ave # H3
Newark, NJ 07112-2027

Other practice locations

  • 201 Lyons Ave # H3, Newark, NJ 07112-2027 · (973) 926-7000

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X26NJ15004300 (NJ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1922856202

Candice Russell, APN's National Provider Identifier is 1922856202, issued on May 10, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newark, NJ. The record was last updated on Oct 8, 2026.