IndividualActive
Allison Russell, PA
NPI 1144239658 · Medical Physician Assistant · Mount Juliet, TN
Provider details
- NPI number
- 1144239658
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 720 (TN)
Practice location
4024 N Mount Juliet Rd
Mount Juliet, TN 37122-3086
Phone: (615) 773-9393
Fax: (615) 773-9238
Mailing address
4024 N Mount Juliet Rd
Mount Juliet, TN 37122-3086
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.