Individual
ELIZABETH A RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 ROSE GARDEN LN, GOODLETTSVILLE, TN 37072-3165
(615) 977-6470
Mailing address
116 ROSE GARDEN LN, GOODLETTSVILLE, TN 37072-3165
(615) 977-6470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000021983
TN
Other
Enumeration date
02/23/2017
Last updated
10/25/2021
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