Jason Thomas Russell
Jason Thomas Russell is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
847 Monroe Ave Ste 226Memphis, TN 38103-4901
Phone: (901) 448-6036
Fax: (901) 448-7053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1619257763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 21, 2011 |
| Last updated in NPPES | August 21, 2011 |
| Mailing address | 7013 Andrews Rd, Bartlett, TN 38135-3001 |
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