Claire Russell, APRN
Individual provider Active NPI Family Nurse Practitioner · Ashdown, AR
NPI 1821301466 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1821301466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A001783 (AR)
- Practice address
- 122 Southern Dr
Ashdown, AR 71822-8668 - Phone
- (870) 898-6940
- NPI assigned
- Jul 25, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 653437 | TX | |
| Family Nurse Practitioner | 363LF0000X | A001783 | AR | Yes |
Addresses
Primary practice location
122 Southern Dr
Ashdown, AR 71822-8668
Mailing address
310 Country Rd 1105
Maud, TX 75567
Phone (903) 280-2813
Other practice location 1
402 South Lee St.
CABUN Rural Health Services, Inc.
Hampton, AR 71744
Phone (870) 798-4299
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205407758 | Medicaid | AR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Covert.clinic.@yahoo.com |
Other providers in Ashdown, AR
- Reese Lunsford DDS PLLC
- Reese Lunsford DDS PLLC
- Respiratory Plus of Arkansas LLC
- Rhone'S Counseling Services, LLC
- Calyse Roy
- Lynda Gail Russell
- Ashley Renee Sanders
- Serenity Hospice, LLC
- Candice Settlemoir
- Shawn Patrick Simmons
All providers in Ashdown, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.