IndividualActive
Amy Russell, ARNP
NPI 1215184643 · Primary Care Nurse Practitioner · Crestview, FL
Provider details
- NPI number
- 1215184643
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- License
- RN9226261 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
369 N Main St
Crestview, FL 32536-3541
Phone: (850) 332-2589
Fax: (850) 398-8277
Approximate (ZIP-level) locationGet directions
Mailing address
369 N Main St
Crestview, FL 32536-3541
Registry dates
- Enumerated
- 2008-08-27
- Last updated
- 2023-02-07
- Certified
- 2023-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.