# DR. THOMAS LEE RUSSELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881186971
- **Gender:** Man
- **Credential:** DNP, FNP-C, PMHNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN.317795 | OH | — |
| 363L00000X | Nurse Practitioner | APRN.CNP.022944 | OH | — |
| 363LF0000X | Family Nurse Practitioner | APRN.CNP.022944 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.022944 | OH | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | APRN.CNP.022944 | OH | — |

## Other

- **Enumeration date:** 06/04/2018
- **Last updated:** 05/30/2025