IndividualActive
Amanda Russell, FNP
NPI 1215428578 · Family Nurse Practitioner · Madisonville, KY
Provider details
- NPI number
- 1215428578
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 3012241 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
419 N Seminary St
Madisonville, KY 42431-1515
Phone: (731) 394-1145
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 269084
Oklahoma City, OK 73126
Registry dates
- Enumerated
- 2018-05-22
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.