Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Russell Dermatology of Conway, PLLC

Organization Dermatology Physician · NPI 1639134067

Russell Dermatology of Conway, PLLC provides Dermatology Physician services in Conway, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2425 Dave Ward Dr Ste 202
Conway, AR 72034-8686
Phone: (501) 328-5050
Fax: (501) 328-2131
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence E1574 (AR)

Record details

NPI number1639134067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Russell — Bus/Office Mgr · (501) 328-5050
NPI enumeratedApril 19, 2006
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686

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