person
Lauralei S Russell, MSN,APRN,BC
Psychiatric/Mental Health Nurse Practitioner in Martin, Tennessee
NPI 1497734727

Lauralei S Russell is a Psychiatric/Mental Health Nurse Practitioner based in Martin, TN and is specialized in Psychiatric/Mental Health. Lauralei S Russell practices in Martin, TN and has the professional credentials of MSN,APRN,BC. The NPI Number for Lauralei S Russell is 1497734727 and holds a License No. 98960 (Tennessee).

The current practice location address for Lauralei S Russell is 920 University St, Martin, TN and can be reached out via phone at 731-588-5829 and via fax at 731-587-8810.

Location: 920 University St, Martin, TN, 38237-1605
person
Provider Profile Details
NPI Number
1497734727
Provider Name
Lauralei S Russell
Credential
MSN,APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
920 University St, Martin, TN, 38237-1605
Phone Number
731-588-5829
Fax Number
731-587-8810
Provider Enumeration Date
01/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3901296 05 TN
P00095364 01 TN RAILROAD MEDICARE
4100240 01 TN BCBS OF TN MPAC
4083487 01 TN BCBS OF TN SYMED
3901295 05 TN
institution
Provider Business Practice Location Address Details
Address
920 University St
City
State
Zip
38237-1605
Phone Number
731-588-5829
Fax Number
731-587-8810
person
Provider Business Mailing Address Details
Address
920 University St
City
State
Zip
38237-1605
Phone Number
731-588-5829
Fax Number
731-587-8810
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
98960 (Tennessee)
Definition
Definition to come...
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