MRS. ELISSA RUSSELL, APN, CNP

Nurse Practitioner - Family

Active Individual
NPI: 1225316722

Practice Address

1340 CHARLES ST
SUITE 300
Rockford, IL 61104

Phone: (779) 696-5888

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No 209008946 (IL)
Nurse Practitioner - Family 363LF0000X Yes 209008946 (IL)

Frequently Asked Questions

NPI 1225316722 is the National Provider Identifier for MRS. ELISSA RUSSELL, APN, CNP, a Nurse Practitioner - Family provider located in Rockford, IL. This NPI was enumerated on August 1, 2011.
MRS. ELISSA RUSSELL, APN, CNP practices at 1340 CHARLES ST, SUITE 300, Rockford, IL 61104.

Quick Facts

NPI
1225316722
Type
Individual
Enumerated
Aug 1, 2011
Last Updated
Jul 27, 2018

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