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Search › Missouri › 363LA2100X

Melody Russell, ACAGNP-BC

NPI 1114699923 · on the registry since 2021

Practice

Address
222 E Primrose St Ste E
Springfield, MO 65807
Phone
(417) 553-1080
Fax
(888) 472-5145
Organisation at this address
Main Sail Enterprises South Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri