Russell, Laura

Russell, Laura is an individual health care provider with primary practice located at 1109 E Reelfoot Ave Suite C, Union City TN 38261-5856. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Russell, Laura can be contacted via phone (731) 884-0600.

Contact Information

Primary practice address
1109 E Reelfoot Ave Suite C Union City TN 38261-5856
Phone: (731) 884-0600
Fax: (731) 885-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN11001 Tennessee

Profile Details

NPI number 1710974761
LBN Legal business name Russell, Laura
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 8th, 2007 - about 18 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 1710974761 NPPES
Tennessee Other 166248 BETTER HEALTH PLANS
Tennessee Other 34427 BETTER HEALTH PLANS
Tennessee MEDICAID 3723214 BETTER HEALTH PLANS
Tennessee Other 4103819 BETTER HEALTH PLANS

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