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

Individual provider Family Nurse Practitioner · NPI 1538503321

Laurie Tillery-Russell, CRNP is a Family Nurse Practitioner in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2013
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1500 Market St
Philadelphia, PA 19102-2100
Phone: (267) 324-5707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SPO12098 (PA)

Record details

NPI number1538503321
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedApril 23, 2013
Last updated in NPPESApril 19, 2016

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