Tabitha Russell FNP-BC

NPI 1053566695 - Registered Nurse - 163WC1500X

NPI Details
NPI 1053566695
Gender Female
Enumeration Date 11/24/2008
Last Updated 03/29/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
14299 OLD NASHVILLE HWY
SMYRNA TN, 37167-6315, US
Phone (866) 389-2727
Fax
Business Location
14299 OLD NASHVILLE HWY
SMYRNA TN, 37167-6315, US
Phone
Fax
Toxanomy
Taxonomy Code 163WC1500X
License State Tennessee
License Number RN0000158598
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According to our database, Mrs. Tabitha Russell FNP-BC NPI is 1053566695, taxonomy code is 163WC1500X and license number is RN0000158598, license state is located at Tennessee. Tabitha Russell FNP-BC physically located at 14299 Old Nashville Hwy, Smyrna TN, 37167-6315. NPI Number Tabitha Russell FNP-BC has the Individual type.

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1053566695 NPI number is provided on an as is basis without warranty of any kind. 1053566695 is maintained by the National Plan & Provider Enumeration System. The contents of Tabitha Russell FNP-BC are for informational purposes only.