KATHRYN NIKOLE RUSSELL

MEMPHIS, TN
NPI1902149800
Professional NameKATHRYN N SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: TN  17414)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MS  A810604)
363LF0000X Nurse Practitioner, Family
(Licence: TN  14717)
Enumeration Date2013-03-29
Last Update Date2022-07-21
Business Address
Mrs. KATHRYN NIKOLE RUSSELL FNP-BC
3900 NEW COVINGTON PIKE STE 112
MEMPHIS, TN 38128-2526
Phone number: 901-376-6821
Mailing Address
Mrs. KATHRYN NIKOLE RUSSELL FNP-BC
3900 NEW COVINGTON PIKE STE 112
MEMPHIS, TN 38128-2526
Phone number: 901-376-6821