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

Grace Ellen Russell

Individual provider Medical Physician Assistant · NPI 1003744954

Grace Ellen Russell is a Medical Physician Assistant in Wilmington, North Carolina. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

120 Gazebo Ct
Wilmington, NC 28409-5051
Phone: (910) 264-9025
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1003744954
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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