NPI 1588215966

Venius Vernester Russell

Practitioner Personal Care Attendant North Little Rock, AR

Practice location

Address: 2200 Fort Roots Dr, North Little Rock, AR 72114-1709
Phone: (501) 257-1000
Mailing address: 432 Grace Loop, Dermott, AR 71638-8763

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1588215966
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2019
Record last updated: 26 Sep 2019

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.