person
Jason Thomas Russell
Student in an Organized Health Care Education/Training Program in Memphis, Tennessee
NPI 1619257763

Jason Thomas Russell is a Student in an Organized Health Care Education/Training Program based in Bartlett, TN. Jason Thomas Russell practices in Memphis, TN. The NPI Number for Jason Thomas Russell is 1619257763 and holds a License No. (Tennessee).

The current practice location address for Jason Thomas Russell is 847 Monroe Ave, Memphis, TN and can be reached out via phone at 901-448-6036 and via fax at 901-448-7053.

Location: 847 Monroe Ave, Memphis, TN, 38135-3001
person
Provider Profile Details
NPI Number
1619257763
Provider Name
Jason Thomas Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
847 Monroe Ave, Memphis, TN, 38135-3001
Phone Number
901-448-6036
Fax Number
901-448-7053
Provider Enumeration Date
08/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
847 Monroe Ave
City
State
Zip
38103-4901
Phone Number
901-448-6036
Fax Number
901-448-7053
person
Provider Business Mailing Address Details
Address
847 Monroe Ave
City
State
Zip
38103-4901
Phone Number
901-448-6036
Fax Number
901-448-7053
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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