GRACE ELLEN RUSSELL
NPI 1003744954
Physician Assistant - Medical in Wilmington, NC

Active since May 11, 2026
120 GAZEBO CT, WILMINGTON, NC 28409(910) 264-9025 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Ellen Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE ELLEN RUSSELL (NPI 1003744954) is an individual medical provider in Wilmington, North Carolina and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1003744954
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGRACE ELLEN RUSSELL
Location Address120 GAZEBO CTWilmington, NC 28409-5051
Mailing Address120 Gazebo CtWilmington, NC 28409-5051
Sole ProprietorNo
Enumeration DateMay 11, 2026
NPPES CertifiedMay 11, 2026
NPI 1003744954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
120 GAZEBO CT, Wilmington, NC 28409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Russell's NPI number?

The NPI number for Grace Russell is 1003744954. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Grace Russell located?

Grace Russell practices at 120 Gazebo Ct, Wilmington, NC 28409. The listed phone number is (910) 264-9025.

What is Grace Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Grace Russell was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.