Russell, Kathryn Nikole

Russell, Kathryn Nikole is an sole proprietor health care provider with primary practice located at 3900 New Covington Pike Ste 112 , Memphis TN 38128-2526. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Russell, Kathryn Nikole can be contacted via phone (901) 376-6821.

Contact Information

Primary practice address
3900 New Covington Pike Ste 112 Memphis TN 38128-2526
Phone: (901) 376-6821
Fax: (901) 609-7747
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A810604 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14717 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 17414 Tennessee

Profile Details

NPI number 1902149800
LBN Legal business name Russell, Kathryn Nikole
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2013
Last updated Jul 21st, 2022 - about 4 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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