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CLAIRE RUSSELL FAMILY MEDICAL CENTER PLLC
NPI 1477066264
Nurse Practitioner - Family in De Queen, AR

Active since November 15, 2017
300 W COLLIN RAYE DR STE 101B, DE QUEEN, AR 71832(903) 280-2813 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Claire Russell Family Medical Center Pllc NPPES

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

CLAIRE RUSSELL FAMILY MEDICAL CENTER PLLC (NPI 1477066264) is a healthcare organization registered as a family in De Queen, Arkansas and active in the NPI registry since November 2017. The organization lists Katina R Levingston, Manager, as its authorized official.

NPPES Registry Identity

NPI1477066264
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCLAIRE RUSSELL FAMILY MEDICAL CENTER PLLC
Location Address300 W COLLIN RAYE DR STE 101BDe Queen, AR 71832-2003
Mailing Address300 W Collin Raye Dr Ste 101bDe Queen, AR 71832-2003 · (903) 280-2813
Phone(903) 280-2813
Organization SubpartNo
Authorized OfficialKatina R LevingstonManager · (903) 293-7093
Enumeration DateNovember 15, 2017
✔ NPI 1477066264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
300 W COLLIN RAYE DR STE 101B, De Queen, AR 71832
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Claire Russell Family Medical Center PLLC's NPI number?

The NPI number for Claire Russell Family Medical Center PLLC is 1477066264. It was assigned to this organization in the NPPES registry on November 15, 2017.

Where is Claire Russell Family Medical Center PLLC located?

Claire Russell Family Medical Center PLLC is located at 300 W Collin Raye Dr Ste 101B, De Queen, AR 71832. The listed phone number is (903) 280-2813.

What is Claire Russell Family Medical Center PLLC'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 Claire Russell Family Medical Center PLLC was last updated on November 15, 2017. 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.