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Sandra G Russell, FNP
Family Nurse Practitioner in Petal, Mississippi
NPI 1932219581

Sandra G Russell is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Sandra G Russell practices in Petal, MS and has the professional credentials of FNP. The NPI Number for Sandra G Russell is 1932219581 and holds a License No. R639834 (Mississippi).

The current practice location address for Sandra G Russell is 15 Pumping Station Rd, Petal, MS and can be reached out via phone at 601-583-1559 and via fax at 601-583-1573.

Location: 15 Pumping Station Rd, Petal, MS, 39401-7246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932219581
Provider Name
Sandra G Russell
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
15 Pumping Station Rd, Petal, MS, 39401-7246
Phone Number
601-583-1559
Fax Number
601-583-1573
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1501891 05 LA
640507572KL 01 MS AMERICAN ADMIN GROUP
00117682 05 MS
institution
Provider Business Practice Location Address Details
Address
15 Pumping Station Rd
City
Petal
State
Mississippi
Zip
39465-8325
Phone Number
601-583-1559
Fax Number
601-583-1573
person
Provider Business Mailing Address Details
Address
15 Pumping Station Rd
City
Petal
State
Mississippi
Zip
39465-8325
Phone Number
601-583-1559
Fax Number
601-583-1573
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
639834 (Mississippi)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R639834 (Mississippi)
Definition
Definition to come...
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