NPI 1538583570

Vernita Russell

Practitioner Community Health Worker Eclectic, AL

Practice location

Address: 40 Kowaliga Rd, Eclectic, AL 36024-5618
Phone: (334) 306-0431
Fax: (334) 478-3795
Mailing address: PO Box 240114, Eclectic, AL 36024-0012

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Alabama →

Registry record

NPI: 1538583570
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2014
Record last updated: 11 Feb 2014

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.