Individual provider · Type 1 NPI

Tammy Watson Russell

Family Nurse Practitioner · Marysville, OH

NPI number 1194311522 Active

Practice location

969 W 5th St
Marysville, OH 43040-1070

Mailing address

654 Corbel Dr
Marysville, OH 43040-7096

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X474767 (OH)
Family Nurse Practitioner Primary 363LF0000X0038992 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1194311522

Tammy Watson Russell's National Provider Identifier is 1194311522, issued on Dec 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marysville, OH. The record was last updated on Jun 27, 2025.