Individual
MS. SASHA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N MAIN ST, CLINTON, TN 37716-3143
(865) 425-8800
(865) 457-4252
Mailing address
3228 WHELEHAN FARM ROAD, CORRYTON, TN 37924
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
186192
TN
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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