Individual
CAROLINA WREN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
890 ISABELLA LN, SMYRNA, TN 37167-4215
(615) 768-8021
Mailing address
890 ISABELLA LN, SMYRNA, TN 37167-4215
(615) 768-8021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36643
TN
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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