person
Allison Russell, PA
Medical Physician Assistant in Mount Juliet, Tennessee
NPI 1144239658

Allison Russell is a Medical Physician Assistant based in Mount Juliet, TN and is specialized in Medical. Allison Russell practices in Mount Juliet, TN and has the professional credentials of PA. The NPI Number for Allison Russell is 1144239658 and holds a License No. 720 (Tennessee).

The current practice location address for Allison Russell is 4024 N Mount Juliet Rd, Mount Juliet, TN and can be reached out via phone at 615-773-9393 and via fax at 615-773-9238.

Location: 4024 N Mount Juliet Rd, Mount Juliet, TN, 37122-3086
person
Provider Profile Details
NPI Number
1144239658
Provider Name
Allison Russell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4024 N Mount Juliet Rd, Mount Juliet, TN, 37122-3086
Phone Number
615-773-9393
Fax Number
615-773-9238
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
720 01 TN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4024 N Mount Juliet Rd
City
State
Zip
37122-3086
Phone Number
615-773-9393
Fax Number
615-773-9238
person
Provider Business Mailing Address Details
Address
4024 N Mount Juliet Rd
City
State
Zip
37122-3086
Phone Number
615-773-9393
Fax Number
615-773-9238
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
720 (Tennessee)
Definition
Definition to come...
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