person
Peni Jean Russell
Family Nurse Practitioner in Nacogdoches, Texas
NPI 1871878835

Peni Jean Russell is a Family Nurse Practitioner based in Nacogdoches, TX and is specialized in Family. Peni Jean Russell practices in Nacogdoches, TX. The NPI Number for Peni Jean Russell is 1871878835 and holds a License No. 589871 (Texas).

The current practice location address for Peni Jean Russell is 283 County Road 264, Nacogdoches, TX and can be reached out via phone at 936-564-8735 and via fax at 936-564-5033.

Location: 283 County Road 264, Nacogdoches, TX, 75965
person
Provider Profile Details
NPI Number
1871878835
Provider Name
Peni Jean Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
283 County Road 264, Nacogdoches, TX, 75965
Phone Number
936-564-8735
Fax Number
936-564-5033
Provider Enumeration Date
10/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
283 County Road 264
City
State
Zip
75965-0530
Phone Number
936-564-8735
Fax Number
936-564-5033
person
Provider Business Mailing Address Details
Address
283 County Road 264
City
State
Zip
75965-0530
Phone Number
936-564-8735
Fax Number
936-564-5033
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
589871 (Texas)
Definition
Definition to come...
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