Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Russell Dermatology of Conway, PLLC

Organization Dermatology Physician · NPI 1639134067

Russell Dermatology of Conway, PLLC is a Dermatology Physician in Conway, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2425 Dave Ward Dr Ste 202
Conway, AR 72034-8686
Phone: (501) 328-5050
Fax: (501) 328-2131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence E1574 (AR)

Record details

NPI number1639134067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Russell — Bus/Office Mgr · (501) 328-5050
NPI enumeratedApril 19, 2006
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686

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