Individual
NATHAN W RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
166 E MAIN ST, HENDERSONVILLE, TN 37075-2520
(615) 822-3000
(615) 822-0073
Mailing address
166 E MAIN ST, HENDERSONVILLE, TN 37075-2520
(615) 822-3000
(615) 822-0073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN7542
TN
363L00000X
Nurse Practitioner
RN113668
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3900616 (3159250)
—
TN
Enumeration date
05/23/2005
Last updated
10/28/2013
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