NPI 1013724715
Elizabeth Russell
Practice location
- Address
- 151 Southwest Dr, Jonesboro, AR 72401-5828
- Phone
- (870) 932-0090
- Fax
- (870) 930-9336
- Mailing address
- 4212 Aggie Rd APT 12, Jonesboro, AR 72405-8523
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1013724715
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Dec 2024
- Record last updated
- 16 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.