Individual provider · Type 1 NPI

Courtney Russell

Licensed Practical Nurse · Bean Station, TN

NPI number 1629654090 Active

Practice location

1285 Highway 11W
Bean Station, TN 37708-5810

Fax (865) 993-4304

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X96039 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

5 other providers at this address

About NPI 1629654090

Courtney Russell's National Provider Identifier is 1629654090, issued on Mar 24, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bean Station, TN. The record was last updated on Mar 24, 2021.