Individual provider · Type 1 NPI
Shelby Russom
Student in an Organized Health Care Education/Training Program · Memphis, TN
Practice location
University Of Tennessee Health Sciences Center
Memphis, TN 38163-0001
Mailing address
10053 Gosling Cir S Apt 203
Cordova, TN 38016-1799
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 1629850136
Shelby Russom's National Provider Identifier is 1629850136, issued on Oct 18, 2023. 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 Oct 18, 2023.