Sandra G Russell, FNP
NPI #1932219581 in Petal, Mississippi
Provider Information
- NPI Number
- 1932219581
- Entity Type
- Individual
- Name
- Sandra G Russell, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Jul 20, 2020
Practice Location
- Address
- 15 PUMPING STATION RD
- City
- Petal
- State
- Mississippi
- ZIP Code
- 39465-8325
- Phone
- (601) 583-1559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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