Individual
MS. RONE' P RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1425
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
(615) 936-0605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1661
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029482
—
TN
Enumeration date
05/25/2011
Last updated
03/21/2022
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