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

Kristin Russo, WHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1174971394

Kristin Russo, WHNP-BC is a Nurse Practitioner in Slidell, Louisiana. Qualified in 2015, 11 years ago. Practices with East Jefferson Physicians Group LLC, a 211-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
11
Licensed in
LA
In the registry since
2016

Practice location Address checks out

105 Medical Center Dr Ste 303
Slidell, LA 70461-5544
Phone: (985) 661-3591
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence AP08757 (LA)

Record details

NPI number1174971394
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedMay 27, 2016
Last updated in NPPESOctober 31, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice East Jefferson Physicians Group Llc — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Slidell