Nurse Practitioner, Family
Ms. SHANNON RUSSOM N.P.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1013948850 · enumerated 2006-07-06 · record updated 2007-07-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 87 CARSE RD, HUNTINGTON, VT, 05462-9550 (802) 434-4195 Google Maps Apple Maps OpenStreetMap
- Practice location 353 BLAIR PARK RD, WILLISTON, VT, 05495-7530 (802) 847-1600 Fax (802) 847-7184 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License 1010017858 VT
In this directory
Locations and evidence
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Practice location
WILLISTON, VT, 054957530
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.