Russell, Jean

Russell, Jean is an individual health care provider with primary practice located at 919 E Central Ave Scott County Hospital, La Follette TN 37766-2777. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Russell, Jean can be contacted via phone (423) 907-1553.

Contact Information

Primary practice address
919 E Central Ave Scott County Hospital La Follette TN 37766-2777
Phone: (423) 907-1553
Fax: (865) 777-0910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN0000033906 Tennessee

Profile Details

NPI number 1225140320
LBN Legal business name Russell, Jean
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 1st, 2009 - about 15 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 1225140320 NPPES
Tennessee MEDICAID 3608552

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