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Contact Information

JESSICA M RUSSELL, APRN
303 S 5TH STREET
PARIS, AR72855
 Phone: 479-963-2132
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JESSICA M RUSSELL · (Female)

NPI # 1548831696
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/08/2021
Last updated 06/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 216420
Hospital affiliation(s)
  • NORTH LOGAN MERCY HOSPITAL - (Critical Access)
    500 EAST ACADEMY
    PARIS, AR 72855
  • ST EDWARD MERCY MEDICAL CENTER - (Acute Care)
    7301 ROGERS AVE
    FORT SMITH, AR 72917
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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