location
search-icon
person
Keith Aniel Russworm JR., NP
Nurse Practitioner in Pine Bluff, Arkansas
NPI 1497263222

Keith Aniel Russworm JR. is a Nurse Practitioner based in Lafayette, AR. Keith Aniel Russworm JR. practices in Pine Bluff, AR and has the professional credentials of NP. The NPI Number for Keith Aniel Russworm JR. is 1497263222 and holds a License No. A005484 (Arkansas).

The current practice location address for Keith Aniel Russworm JR. is 1600 W 40Th Ave, Pine Bluff, AR and can be reached out via phone at 870-541-7100. You can also correspond with Keith Aniel Russworm JR. through the mailing address at 200 CORPORATE BLVD, LAFAYETTE, LA - 70508-3870 (mailing address contact number: 800-893-9698).

Location: 1600 W 40Th Ave, Pine Bluff, AR, 70508-3870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497263222
Provider Name
Keith Aniel Russworm JR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1600 W 40Th Ave, Pine Bluff, AR, 70508-3870
Phone Number
870-541-7100
Fax Number
Provider Enumeration Date
01/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 W 40Th Ave
City
Pine Bluff
State
Arkansas
Zip
71603-6301
Phone Number
870-541-7100
Fax Number
person
Provider Business Mailing Address Details
Address
200 Corporate Blvd
City
Lafayette
State
Louisiana
Zip
70508-3870
Phone Number
800-893-9698
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
A005484 (Arkansas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.