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MARISSA RUSSO NP
NPI 1558952911
Nurse Practitioner in Huntersville, NC

Active since January 28, 2021
8712 LINDHOLM DR STE 302, HUNTERSVILLE, NC 28078(704) 997-6530 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Marissa Russo Np NPPES

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

MARISSA RUSSO NP (NPI 1558952911) is an individual nurse practitioner in Huntersville, North Carolina, licensed in North Carolina (F01210887) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1558952911
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARISSA RUSSOCredential: NP
Location Address8712 LINDHOLM DR STE 302Huntersville, NC 28078-1872
Mailing Address13809 Hill StHuntersville, NC 28078-5328 · (315) 546-5184
Phone(704) 997-6530
Sole ProprietorNo
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1558952911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · F01210887
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8712 LINDHOLM DR STE 302, Huntersville, NC 28078
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY CLEMENTS ANP
Nurse Practitioner
8712 LINDHOLM DR STE 302
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 977-6530
CAROLINA AGE MANAGEMENT INSTITUTE, PC
Internal Medicine
8712 LINDHOLM DR STE 302
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 997-6530

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 Marissa Russo's NPI number?

The NPI number for Marissa Russo is 1558952911. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Where is Marissa Russo located?

Marissa Russo practices at 8712 Lindholm Dr Ste 302, Huntersville, NC 28078. The listed phone number is (704) 997-6530.

What is Marissa Russo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Marissa Russo was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.