Individual provider · Type 1 NPI

Madison Mae Russell

Student in an Organized Health Care Education/Training Program · Alcoa, TN

NPI number 1669305231 Active

Practice location

255 E Watt St
Alcoa, TN 37701-2236

Call (865) 273-1616 Map

Fax (865) 273-1645

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1669305231

Madison Mae Russell's National Provider Identifier is 1669305231, issued on Jun 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alcoa, TN. The record was last updated on Jun 4, 2026.