Russell, Allison

Russell, Allison is an individual health care provider with primary practice located at 4024 N Mount Juliet Rd , Mount Juliet TN 37122-3086. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Russell, Allison can be contacted via phone (615) 773-9393.

Contact Information

Primary practice address
4024 N Mount Juliet Rd Mount Juliet TN 37122-3086
Fax: (615) 773-9238
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 720 Tennessee

Profile Details

NPI number 1144239658
LBN Legal business name Russell, Allison
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144239658 NPPES
Tennessee Other 720 STATE LICENSE

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