Individual provider · Type 1 NPI
Amanda Elizabeth Russell
Primary Care Nurse Practitioner · Selmer, TN
NPI number
1932879392
Active
Practice location
47 Fairway Pl
Selmer, TN 38375-1548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | APN0000030233 (TN) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1932879392
Amanda Elizabeth Russell's National Provider Identifier is 1932879392, issued on Sep 16, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Selmer, TN. The record was last updated on Sep 16, 2021.