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:
Health care specialties
Specialty | Code | License # | 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 2 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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