SAMUEL RUSSELL FNP-C NPI 1043978844

NPI Information

  • NPI: 1043978844
  • Provider Name: SAMUEL RUSSELL, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 6740 LEE HWY
    CHATTANOOGA, TN
    ZIP 37421
  • Phone: (423) 553-9394

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NPI Details

Samuel Russell, FNP-C is a family nurse practitioner in Chattanooga, TN. Samuel Russell, FNP-C NPI is 1043978844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6740 LEE HWY
CHATTANOOGA, TN
ZIP 37421-423
Phone: (423) 553-9394
Fax: (423) 553-9398

The enumeration date for this NPI number is 11/30/2021 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily30117TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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