Individual provider · Type 1 NPI
Jason Thomas Russell
Student in an Organized Health Care Education/Training Program · Memphis, TN
Practice location
847 Monroe Ave, Suite 226
Memphis, TN 38103-4901
Fax (901) 448-7053
Mailing address
7013 Andrews Rd
Bartlett, TN 38135-3001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1619257763
Jason Thomas Russell's National Provider Identifier is 1619257763, issued on Aug 21, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Aug 21, 2011.