Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Erryn Russell, PA-C

Individual provider Medical Physician Assistant · NPI 1972544559

Kristin Erryn Russell, PA-C is a Medical Physician Assistant in Fayetteville, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1880 Quiet Cv
Fayetteville, NC 28304-3857
Phone: (910) 323-2477
Fax: (910) 323-5931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1638 Owen Dr, Fayetteville, NC 28304-3424 — (910) 615-4000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 104196 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 104196 (NC)

Record details

NPI number1972544559
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 8, 2006
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

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