AMANDA ELIZABETH RUSSELL

SELMER, TN
NPI1932879392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: TN  APN0000030233)
Enumeration Date2021-09-16
Last Update Date2021-09-16
Business Address
AMANDA ELIZABETH RUSSELL
47 FAIRWAY PL
SELMER, TN 38375-1548
Phone number: 901-268-8401
Mailing Address
AMANDA ELIZABETH RUSSELL
47 FAIRWAY PL
SELMER, TN 38375-1548
Phone number: 901-268-8401
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