Sandra G Russell
FNP | Nurse Practitioner | 29+ years Exp
15 Pumping Station Rd, Petal
Mississippi, 39465-8325
601-583-1559
Sandra G Russell is a Petal, Mississippi based nurse practitioner with 29 years of experience in . She completed her graduation in 1996. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Sandra G Russell is 639834 for Family in Mississippi. Her current practice location is 15 Pumping Station Rd, Petal. Patients can reach her at 601-583-1559 or can fax her at 601-583-1573. Sandra G Russell is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1932219581.
Sandra G Russell has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Sandra G Russell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Sandra G Russell |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP |
| Experience: | 29+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1996 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 15 Pumping Station Rd, Petal,
Mississippi, 39465-8325 |
| Phone: | 601-583-1559 |
| Fax: | 601-583-1573 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2769483965 |
| Enrollment ID: | I20070130000443 |
| NPI Number: | 1932219581 |
| NPI Enumeration Date: | 30 Aug, 2006 |
| NPI Last Update On: | 20 Jul, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sandra G Russell are as mentioned below.
| License Number | Specialization | State | Status | |
| 639834 | Family | Mississippi | Primary | |
| R639834 | Nurse Practitioner | Mississippi | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Sandra G Russell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Hattiesburg Clinic, Pa (5193706794) | 445 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Sandra G Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1501891 | Medicaid | Louisiana | |
| 640507572KL | Other | Mississippi | AMERICAN ADMIN GROUP |
| 00117682 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Sandra G Russell
415 S 28th Ave,
Hattiesburg, Mississippi |
| Zip: | 39401-7246 |
| Phone Number: | 601-583-1559 |
| Fax Number: | 601-579-5240 |
Patients can reach Sandra G Russell at
15 Pumping Station Rd, Petal, Mississippi or can
call to book an appointment on 601-583-1559.
Comments/ Reviews:
Patients can read all the reviews posted for Sandra G Russell below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Sandra G Russell. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.