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Contact Information

TABITHA RUSSELL, FNP-BC
14299 OLD NASHVILLE HWY
SMYRNA, TN37167
 Phone: 866-389-2727
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for TABITHA RUSSELL · (Female)

NPI # 1053566695
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 11/24/2008
Last updated 03/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 18341
  • TN License # RN0000158598
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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