| Shannon Mckenzee Russell, NP | |
|
6333 Center Dr # 16, Norfolk, VA 23502-4126 | |
| (757) 252-9500 | |
| Not Available |
| Full Name | Shannon Mckenzee Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 6333 Center Dr # 16, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245964782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 0024184645 (Virginia) | Primary |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Mckenzee Russell, NP 6333 Center Dr Bldg 16, Norfolk, VA 23502-4126 Ph: (757) 252-9500 | Shannon Mckenzee Russell, NP 6333 Center Dr # 16, Norfolk, VA 23502-4126 Ph: (757) 252-9500 |
Belinda James-petersen, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7240 Fax: 757-668-7241 | |
Tracy Lyn Martino, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-8441 | |
Cecille Morido Quinn, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502 Phone: 757-261-5000 Fax: 757-962-5610 | |
Martha Idowu Morolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 Fax: 757-388-4242 | |
Kacie Denise Carter, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-8796 Fax: 757-668-9814 | |
Dr. Jessica D Snook, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Fairfax Ave, 118, Norfolk, VA 23507 Phone: 757-446-5955 Fax: 757-446-5196 | |
Mrs. Ursula Julianna Pretorius, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Glenrock Rd, Suite 100, Norfolk, VA 23502 Phone: 757-252-3294 Fax: 757-510-9311 |