| Organization Name: | RUSSELL B ALLISON MD PA |
| NPI Number: | 1114277993 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL TOWNSEND (NURSE PRACITIONER) |
| Mailing Address: | 5395 W Ash St Pottsville |
| State: | AR US |
| Postal Code: | 728589170 |
| Phone Number: | 4798801118 |
| Fax Number: | 4798801120 |
| NPI Enumeration Date: | 09/19/2012 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A01298 ANP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |