Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL WALTERS, PA-C
ActiveRUSSELL WALTERS, PA-C is a Physician Assistant healthcare provider located in JEFFERSON CITY, Tennessee. NPI 1952724403 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JEFFERSON CITY, TN
Registration Details
- NPI Number
- 1952724403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 3, 2014 (12.381011097935 yrs)
- Last Updated
- Nov 1, 2021
- License
-
2489 (TN)
Practice Information
- Address
-
110 HOSPITAL DRJEFFERSON CITY, TN, 377605281Browse TN providers · Browse ZIP 37760
- Phone
- 8654712300
- Fax
- 8654712463
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in JEFFERSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. KIMBERLY ANNE LAY | PAC | 1801826417 |
| LINDSEY ANN CLYDE | PA-C | 1215363841 |
| MRS. SARAH E. CHAPMAN | PA-C | 1376948927 |
| AARON C. HARRIS | PA | 1013374503 |
| HALEY LAWSON | — | 1013377092 |
| ANGELA BROOKE BURKHALTER | PA | 1730646084 |
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.