Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH ANIEL RUSSWORM JR., NP
ActiveNurse Practitioner · PINE BLUFF, AR
Registration Details
- NPI Number
- 1497263222
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2018 (8.262893977257 yrs)
- Last Updated
- Jan 25, 2018
- License
-
A005484 (AR)
Practice Information
- Address
-
1600 W 40TH AVEPINE BLUFF, AR, 716036301Browse AR providers · Browse ZIP 71603
- Phone
- 8705417100
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in PINE BLUFF, AR
| Name | Credential | NPI |
|---|---|---|
| SARAH KATHERINE BROWN | ANP | 1205009818 |
| MEREDITH B ALLISON | ANP | 1619275070 |
| VERNIECE BEAVERS | NP | 1245512185 |
| SHAUN YOUNG | NP-C | 1285091140 |
| MELISSA CAROL KOONCE | APRN | 1811415540 |
| JAIME COUTURE | MSN, RN, FNP-C | 1184107138 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.