person
Earl D Russell JR., FNP
Family Nurse Practitioner in Brookhaven, Mississippi
NPI 1447412275

Earl D Russell JR. is a Family Nurse Practitioner based in Brookhaven, MS and is specialized in Family. Earl D Russell JR. practices in Brookhaven, MS and has the professional credentials of FNP. The NPI Number for Earl D Russell JR. is 1447412275 and holds a License No. R852034 (Mississippi).

The current practice location address for Earl D Russell JR. is 427 Highway 51 N, Brookhaven, MS and can be reached out via phone at 601-823-5301 and via fax at 601-833-8742. You can also correspond with Earl D Russell JR. through the mailing address at PO BOX 5440, BROOKHAVEN, MS - 39603-5440 (mailing address contact number: 601-587-7983).

Location: 427 Highway 51 N, Brookhaven, MS, 39603-5440
person
Provider Profile Details
NPI Number
1447412275
Provider Name
Earl D Russell JR.
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
427 Highway 51 N, Brookhaven, MS, 39603-5440
Phone Number
601-823-5301
Fax Number
601-833-8742
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R852034 01 MS MS LICENSE
institution
Provider Business Practice Location Address Details
Address
427 Highway 51 N
City
State
Zip
39601-2350
Phone Number
601-823-5301
Fax Number
601-833-8742
person
Provider Business Mailing Address Details
Address
427 Highway 51 N
City
State
Zip
39601-2350
Phone Number
601-823-5301
Fax Number
601-833-8742
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R852034 (Mississippi)
Definition
Definition to come...
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