Nicole Ann Russell
Nurse Practitioner Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
330 Franklin Rd Ste 302
Brentwood
, Tennessee 37027-3213
Nicole Ann Russell
Nurse Practitioner Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
330 Franklin Rd Ste 302
Brentwood
, Tennessee 37027-3213
(615) 373-3533
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Nicole Ann Russell
- 1811 5th St
- Jellico, TN
- Zip : 37762-4629
- Phone : (615) 373-3533
Second Address
- Nicole Ann Russell
- 330 Franklin Rd Ste 302
- Brentwood, TN
- Zip : 37027-3213
- Phone : (615) 373-3533
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 14174 | TN |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | APN14174 | TN |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 14174 | TN |
National Provider Identifier
| NPI | 1053544890 |
|---|---|
| Provider Name | Nicole Ann Russell |
| First Address | Jellico, TN 37762-4629 |
| Second Address | Brentwood, TN 37027-3213 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2009 |
| Last Update Date | 28/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.