Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY SHANNON RUSSELL, APRN-CNP
ActiveMRS. KELLY SHANNON RUSSELL, APRN-CNP is a Women's Health Nurse Practitioner healthcare provider located in ALLEN, Oklahoma. NPI 1538375233 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · ALLEN, OK
Registration Details
- NPI Number
- 1538375233
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2007 (19.253672097498 yrs)
- Last Updated
- Jan 14, 2019
- Licenses
-
0050643 (OK)0050643 (OK)
Practice Information
- Address
-
200 N EASTONALLEN, OK, 748259713Browse OK providers · Browse ZIP 74825
- Phone
- 5808571300
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
- Additional Specialty
- Women's Health Nurse Practitioner
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.