Individual
MRS. KATHRYN NIKOLE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3900 NEW COVINGTON PIKE STE 112, MEMPHIS, TN 38128-2526
(901) 376-6821
(901) 609-7747
Mailing address
3900 NEW COVINGTON PIKE STE 112, MEMPHIS, TN 38128-2526
(901) 376-6821
(901) 609-7747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14717
TN
363LF0000X
Family Nurse Practitioner
A810604
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
17414
TN
Other
Enumeration date
03/29/2013
Last updated
07/21/2022
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