MS. DEBORAH JEAN RUSSELL R.N. F.N.P. NPI 1790784130

NPI Information

MS. Deborah Jean Russell, R.N., F.N.P. is a family nurse practitioner in Kalamazoo, MI with 17 years of experience. MS. Deborah Jean Russell, R.N., F.N.P. NPI is 1790784130. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 JOHN ST
BOX 74 - BRONSON ADULT PALLIATIVE CARE
KALAMAZOO, MI
ZIP 49007-341
Phone: (269) 341-8481
Fax: (269) 341-7781

The NPI 1790784130 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 10/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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