LACEY RUSSELL

JONESBORO, LA
NPI1962809608
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: LA  AP07536)
Enumeration Date2014-11-24
Last Update Date2022-07-25
Business Address
LACEY RUSSELL ACNP
244 BOND ST
JONESBORO, LA 71251-5334
Phone number: 318-259-1100
Mailing Address
LACEY RUSSELL ACNP
PO BOX 70
HODGE, LA 71247-0070
Phone number: 318-450-8437