National Provider Identifier Database

KATHRYN N RUSSELL, FNP-BC – NPI #1902149800
Primary Care


Contact Information

KATHRYN N RUSSELL, FNP-BC
3900 NEW COVINGTON PIKE
112
MEMPHIS, TN38128
Phone: 901-609-7747
Fax: 901-609-7747
Website:
Specialty Taxonomy Code
* Primary Care 363LP2300X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for KATHRYN N RUSSELL

NPI Number 1902149800
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/29/2013
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • MS License #: A810604
  • TN License #: 14717
  • TN License #: 17414
Hospital affiliation n/a

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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