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SHANNON RUSSELL
Nurse Practitioner
NPI: 1265833909IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
2014032487(MO)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 1001 E PRIMROSE ST
SPRINGFIELD, MO 65807 - Phone
- (417) 875-3000
Quick Facts
- NPI
- 1265833909
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 12
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