person
Tangella E Russell, CNP
Family Nurse Practitioner in Fayetteville, Georgia
NPI 1275637639

Tangella E Russell is a Family Nurse Practitioner based in Sharpsburg, GA and is specialized in Family. Tangella E Russell practices in Fayetteville, GA and has the professional credentials of CNP. The NPI Number for Tangella E Russell is 1275637639 and holds a License No. RN 116405 (Georgia).

The current practice location address for Tangella E Russell is 1267 Highway 54 W, Fayetteville, GA and can be reached out via phone at 770-716-0051 and via fax at 770-716-0087. You can also correspond with Tangella E Russell through the mailing address at 20 FRANCIS WAY, SHARPSBURG, GA - 30277 (mailing address contact number: 770-253-0611).

Location: 1267 Highway 54 W, Fayetteville, GA, 30277
person
Provider Profile Details
NPI Number
1275637639
Provider Name
Tangella E Russell
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
1267 Highway 54 W, Fayetteville, GA, 30277
Phone Number
770-716-0051
Fax Number
770-716-0087
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
087974374G 05 GA
institution
Provider Business Practice Location Address Details
Address
1267 Highway 54 W
City
State
Zip
30214-2114
Phone Number
770-716-0051
Fax Number
770-716-0087
person
Provider Business Mailing Address Details
Address
1267 Highway 54 W
City
State
Zip
30214-2114
Phone Number
770-716-0051
Fax Number
770-716-0087
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN 116405 (Georgia)
Definition
Definition to come...
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