Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Russell, CFNP

Individual provider Family Nurse Practitioner · NPI 1710974761

Laura Russell, CFNP is a Nurse Practitioner in Union City, Tennessee. Qualified in 2004, 22 years ago. Practices with Kofi Nuako MD PC, a 4-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
22
Licensed in
TN
In the registry since
2005
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Practice location Address checks out

1109 E Reelfoot Ave Ste C
Union City, TN 38261-5856
Phone: (731) 884-0600
Fax: (731) 885-6171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN11001 (TN)

Record details

NPI number1710974761
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Kofi Nuako Md Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Union City