JAMIE RUSSELL


Address: 365 Stout Drive, Suite 160, Johnson City, TN 37614-1703
Phone: 4234394225

JAMIE RUSSELL (NPI# 1578015137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578015137
Entity Type Individual
Full Name JAMIE RUSSELL
Credential APRN, FNP-BC
Practice Address 365 Stout Drive, Suite 160
Johnson City
TN 37614-1703
Mailing Address 365 Stout Drive, Box 70403
Johnson City
TN 37614-1703
Practice Telephone 4234394225
Practice Fax Number 4234394560
Mailing Telephone 4234394515
Mailing Fax Number 4234395780
Enumeration Date 2016-10-31
Last Update Date 2017-06-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
21637 TN Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
21637 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN LICENSE 21637 01

Other Providers JAMIE RUSSELL

NPI Name Taxonomy Address Enumeration
1508308875 Jamie Russell Pharmacist 2215 Brewster Dr Unit 438, Myrtle Beach, SC 29577-1762 2016-11-17
1710436506 Jamie Gordon Russell Occupational Therapist 2005 Oak River St, Las Vegas, NV 89134-6706 2016-09-22
1720401870 Jamie Lynn Russell Chiropractor 6001 State Highway 317, B, Belton, TX 76513-5464 2014-01-27
1982854113 Jamie Russell Counselor 1410 Royalton Road, Salyersville, KY 41465 2008-09-24
1457962219 Jamie Lynn Russell Physical Therapist 86 Thomas Johnson Ct, Frederick, MD 21702-4348 2020-08-13
1346704889 Jamie Ellen Russell Dental Hygienist 26 Queen St Ste 13, Worcester, MA 01610-2478 2019-01-29
1699241760 Jamie Russell Pharmacist 4150 Clement St, San Francisco, CA 94121-1563 2018-10-16
1811347586 Jamie Lynn Russell Nurse Practitioner 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2016-06-14
1043450158 Jamie D. Russell Counselor 130 W Victoria St, Gardena, CA 90248-3523 2009-03-02
1023282274 Jamie Russell Occupational Therapist 206 Maryland Ave, Mccomb, MS 39648-3926 2008-04-18

Office Location

Street Address 365 STOUT DRIVE, SUITE 160
City JOHNSON CITY
State TN
Zip Code 37614-1703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598752891 Jerrilyn S. Brehm Nurse Practitioner 365 Stout Drive, Suite 160, Johnson City, TN 37614-7114 2005-10-02
1265763262 Kayla N Norman Registered Nurse 365 Stout Drive, Suite 160, Johnson City, TN 37614-1703 2010-01-15
1831279686 Jacqueline M Hinshaw Nurse Practitioner 365 Stout Drive, Suite 160, Johnson City, TN 37614 2006-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467061887 Jessica Marie Robinson Pharmacist Maple Avenue Building 7, Johnson City, TN 37614 2020-07-31
1881220697 Rachel Miller Slough Psychologist 801 S Dossett Drive, Johnson City, TN 37614 2020-03-13
1326682493 Yoshihiro Kojima Specialist/Technologist 127 W John Robert Bill Dr, Johnson City, TN 37614 2019-11-01
1205360104 Charlotte Lynn Alexander Student in an Organized Health Care Education/Training Program Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 2017-04-18
1679006787 Joel Whipple Student in an Organized Health Care Education/Training Program Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 2017-04-05
1497295711 Charles Faust Dental Hygienist 1276 Gilbreath Dr, Johnson City, TN 37614 2017-03-06
1265889414 Dyan Darang Student in an Organized Health Care Education/Training Program Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 2016-05-18
1194170142 Katharine Ann Lasher Student in an Organized Health Care Education/Training Program Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 2016-04-27
1992150189 Nishika Shina Moradia Student in an Organized Health Care Education/Training Program East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 2016-04-26
1962884429 Apurva Bansal Student in an Organized Health Care Education/Training Program 325 North State of Franklin, Johnson City, TN 37614 2015-06-22
Find all providers in zip 37614

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063025724 Victoria Elizabeth Mcmanus Nurse Practitioner 365 Harry L Dr Ste 110, Johnson City, NY 13790-1471 2020-08-24
1649880139 Amanda Danielle Ledford Nurse Practitioner 3 Enfield Ct, Johnson City, TN 37604-9101 2020-08-09
1861000135 Deborah L Johnson Nurse Practitioner 2 Mcgregor Pl, Johnson City, TN 37604-1454 2020-07-22
1255978417 William Mcguire Nurse Practitioner 176 Willocks Rd, Johnson City, TN 37601-6274 2019-12-06
1881248664 Caiti Riden Nurse Practitioner 316 Marketplace Dr Ste 10, Johnson City, TN 37604-2595 2019-07-30
1699330282 Courtney S Willis Nurse Practitioner 2203 N Greenwood Dr, Johnson City, TN 37604-7030 2019-05-08
1861955452 Cindy Canter Nurse Practitioner 3552 Greenwood Dr, Johnson City, TN 37604-2834 2019-04-10
1366908980 Holly Anne Parvin Nurse Practitioner 3209 W Walnut St, Johnson City, TN 37604-5949 2019-02-19
1891261376 Lindsey Toney Nurse Practitioner 980 Smalling Rd, Johnson City, TN 37601-8208 2018-10-22
1821572868 Karyn Kimberly Bruton Nurse Practitioner 1723 N Roan St, Johnson City, TN 37601-3949 2018-09-15
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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