Courtney Russell, is a
Licensed Practical Nurse based in Bean Station, Tennessee. Courtney Russell is licensed to practice in Tennessee (license number 96039) and her current practice location is
1285 Highway 11w, Bean Station, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 993-4300.
NPI number for Courtney Russell is 1629654090 and her current mailing address is 1923 Sulphur Springs Rd, Morristown, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629654090.
Provider's Profile
| Full Name | Courtney Russell |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 1285 Highway 11w, Bean Station, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629654090
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 03/24/2021
Medical Identifiers
Medical identifiers for Courtney Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629654090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 96039 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Courtney Russell,
1923 Sulphur Springs Rd,
Morristown, TN 37813-5654
Ph: (423) 317-9344 | Courtney Russell,
1285 Highway 11w,
Bean Station, TN 37708-5810
Ph: (865) 993-4300 |
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