Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COURTNEY RUSSELL
ActiveCOURTNEY RUSSELL is a Licensed Practical Nurse healthcare provider located in BEAN STATION, Tennessee. NPI 1629654090 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · BEAN STATION, TN
Registration Details
- NPI Number
- 1629654090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2021 (5.3645686550892 yrs)
- Last Updated
- Mar 24, 2021
- License
-
96039 (TN)
Practice Information
- Address
-
1285 HIGHWAY 11WBEAN STATION, TN, 377085810Browse TN providers · Browse ZIP 37708
- Phone
- 8659934300
- Fax
- 8659934304
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.