Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TABBY JEANE RUSSELL
Active Sole ProprietorTABBY JEANE RUSSELL is a Behavioral Health, Residential healthcare provider located in EVANSVILLE, Wyoming. NPI 1013213438 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · EVANSVILLE, WY
Registration Details
- NPI Number
- 1013213438
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2011 (15.542868690819 yrs)
- Last Updated
- Feb 2, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
808 SILVER SAGEEVANSVILLE, WY, 826369532Browse WY providers · Browse ZIP 82636
- Phone
- 3072512459
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Other Behavioral Health, Residential Providers in EVANSVILLE, WY
| Name | Credential | NPI |
|---|---|---|
| JOAN GOODALE | — | 1881748051 |
| MRS. MARY E OPITZ | — | 1164558045 |
| JERI L MARKWORTH | — | 1255655114 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.