IndividualActive
Amy Russell, PA-C
NPI 1467404020 · Physician Assistant · Alcoa, TN
Provider details
- NPI number
- 1467404020
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 908 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
266 Joule St
Alcoa, TN 37701-2422
Phone: (865) 984-3864
Fax: (865) 380-4095
Approximate (ZIP-level) locationGet directions
Mailing address
103 W Broadway Ave
Maryville, TN 37801-4703
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2020-06-12
- Certified
- 2020-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.