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Amanda Elizabeth Russell
Primary Care Nurse Practitioner in Selmer, Tennessee
NPI 1932879392

Amanda Elizabeth Russell is a Primary Care Nurse Practitioner based in Selmer, TN and is specialized in Primary Care. Amanda Elizabeth Russell practices in Selmer, TN. The NPI Number for Amanda Elizabeth Russell is 1932879392 and holds a License No. APN0000030233 (Tennessee).

The current practice location address for Amanda Elizabeth Russell is 47 Fairway Pl, Selmer, TN and can be reached out via phone at 901-268-8401.

Location: 47 Fairway Pl, Selmer, TN, 38375-1548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932879392
Provider Name
Amanda Elizabeth Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
47 Fairway Pl, Selmer, TN, 38375-1548
Phone Number
901-268-8401
Fax Number
Provider Enumeration Date
09/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
47 Fairway Pl
City
Selmer
State
Tennessee
Zip
38375-1548
Phone Number
901-268-8401
Fax Number
person
Provider Business Mailing Address Details
Address
47 Fairway Pl
City
Selmer
State
Tennessee
Zip
38375-1548
Phone Number
901-268-8401
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
APN0000030233 (Tennessee)
Definition
Definition to come...
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