Amanda Elizabeth Russell
Amanda Elizabeth Russell is a Nurse Practitioner in Selmer, Tennessee. Qualified in 2021, 5 years ago. Practices with West Tennessee Medical Group Inc, a 190-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 5
- Licensed in
- TN
- In the registry since
- 2021
Practice location Address checks out
47 Fairway PlSelmer, TN 38375-1548
Phone: (901) 268-8401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence APN0000030233 (TN) |
|---|
Record details
| NPI number | 1932879392 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 16, 2021 |
| Last updated in NPPES | September 16, 2021 |
| Certification date | September 16, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | West Tennessee Medical Group Inc — 190 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Selmer
-
Matthew King, NP-C
641 E Poplar Ave, Selmer, TN 38375-1828 · (731) 645-5753