Individual provider · Type 1 NPI
Kathryn Nikole Russell, FNP-BC
Primary Care Nurse Practitioner · Memphis, TN
NPI number
1902149800
Active
Practice location
3900 New Covington Pike Ste 112
Memphis, TN 38128-2526
Fax (901) 609-7747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A810604 (MS) |
| Family Nurse Practitioner | 363LF0000X | 14717 (TN) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 17414 (TN) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1902149800
Kathryn Nikole Russell, FNP-BC's National Provider Identifier is 1902149800, issued on Mar 29, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Memphis, TN. The record was last updated on Jul 21, 2022.