Individual
HALEY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
262 DANNY THOMAS PLACE, MAIL STOP 810, MEMPHIS, TN 38105
(901) 595-8177
Mailing address
262 DANNY THOMAS PLACE, MAIL STOP 810, MEMPHIS, TN 38105-5025
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
34950
TN
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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