STACY LEE RUSSELL NP
NPI 1760802433
Nurse Practitioner in Ann Arbor, MI

Q: What is Stacy Russell's NPI number?

The NPI number for Stacy Russell is 1760802433. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Q: What is Stacy Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Russell was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 22, 2014

2850 S INDUSTRIAL HWY STE 50, ANN ARBOR, MI 48104(734) 477-7228 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2019, Oct 21, 2016 (2 updates tracked since 2016).

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About Stacy Lee Russell Np NPPES

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

STACY LEE RUSSELL NP (NPI 1760802433) is an individual nurse practitioner in Ann Arbor, Michigan, licensed in Michigan (4704207197) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1760802433

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACY LEE RUSSELLCredential: NP

Location Address2850 S INDUSTRIAL HWY STE 50Ann Arbor, MI 48104-6792

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(734) 477-7228

Sole ProprietorNo

Enumeration DateApril 22, 2014

Last NPPES UpdateDecember 31, 20192 updates tracked since enumeration

✔ NPI 1760802433 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 MI · 4704207197

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.

2850 S INDUSTRIAL HWY STE 50, Ann Arbor, MI 48104

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Other Providers at the Same Location NPPES 8

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

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