MRS. ELISSA RUSSELL APN, CNP
NPI 1225316722
Nurse Practitioner - Family in Rockford, IL
About Mrs. Elissa Russell Apn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ELISSA RUSSELL APN, CNP (NPI 1225316722) is an individual family provider in Rockford, Illinois, licensed in Illinois (209008946) and active in the NPI registry since August 2011.
NPPES Registry Identity
Specialties & Licenses 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKFORD, IL 61104
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 Elissa Russell's NPI number?
The NPI number for Elissa Russell is 1225316722. It was assigned to this individual provider in the NPPES registry on August 1, 2011.
Where is Elissa Russell located?
Elissa Russell practices at 1340 Charles St Suite 300, Rockford, IL 61104. The listed phone number is (779) 696-5888.
What is Elissa Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Elissa Russell was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Mrs. Elissa Russell, APN, CNP · NPI 1225316722
Family physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since August 1, 2011.
## Identity
- **NPI:** 1225316722 (Entity type: Individual)
- **Enumerated:** August 1, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209008946 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1340 CHARLES ST, SUITE 300, Rockford, IL 61104
- **Phone:** (779) 696-5888
## Record status
- **NPPES last updated:** July 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1225316722) · Data from the CMS NPPES public registry.