Jason Thomas Russell is a student in an organized health care education training program in Memphis, TN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jason Thomas Russell NPI is 1619257763. 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:
847 MONROE AVE
SUITE 226
MEMPHIS, TN
ZIP 38103-901
Phone: (901) 448-6036
Fax: (901) 448-7053
The enumeration date for this NPI number is 8/21/2011 and was last updated on 8/21/2011.