AMANDA NICOLE RUSSELL

MADISONVILLE, KY
NPI1215428578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3012241)
Enumeration Date2018-05-22
Last Update Date2025-01-15
Business Address
AMANDA NICOLE RUSSELL FNP
419 N SEMINARY ST
MADISONVILLE, KY 42431-1515
Phone number: 731-394-1145
Mailing Address
AMANDA NICOLE RUSSELL FNP
PO BOX 269084 DEPT 1102
OKLAHOMA CITY, OK 73126
Phone number: 731-394-1145