Individual provider · Type 1 NPI

Kristin Erryn Russell, PA-C

Medical Physician Assistant · Fayetteville, NC

NPI number 1972544559 Active

Practice location

1880 Quiet Cv
Fayetteville, NC 28304-3857

Call (910) 323-2477 Map

Fax (910) 323-5931

Other practice locations

  • 1638 Owen Dr, Fayetteville, NC 28304-3424 · (910) 615-4000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X104196 (NC)
Physician Assistant 363A00000X104196 (NC)

Medical Physician Assistant: Definition to come...

20 other providers at this address

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About NPI 1972544559

Kristin Erryn Russell, PA-C's National Provider Identifier is 1972544559, issued on Jun 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, NC. The record was last updated on May 28, 2026.