Individual provider · Type 1 NPI

Russell Walters, PA-C

Physician Assistant · Jefferson City, TN

NPI number 1952724403 Active

Practice location

110 Hospital Dr
Jefferson City, TN 37760-5281

Call (865) 471-2300 Map

Fax (865) 471-2463

Mailing address

1431 Centerpoint Blvd, Suite 100
Knoxville, TN 37932-1984

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X2489 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1952724403

Russell Walters, PA-C's National Provider Identifier is 1952724403, issued on Feb 3, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jefferson City, TN. The record was last updated on Nov 1, 2021.