Odia O'dela Russette, FNP

NPI #1205292968 in Texarkana, Texas

Provider Information

NPI Number
1205292968
Entity Type
Individual
Name
Odia O'dela Russette, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Jan 12, 2016
Last Updated
Sep 4, 2024

Practice Location

Address
2600 SAINT MICHAEL DR
State
Texas
ZIP Code
75503-5220
Phone
(903) 614-1000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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