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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.