Individual provider · NPI-1

Tameika Rochell Russell, FNP-C

Nurse Practitioner, Family · Columbus, GA

NPI number1275262271
StatusActive
Last updated in NPPESJun 30, 2025

Details

NPI
1275262271
Entity type
Individual (NPI-1)
Name
Mrs. Tameika Rochell Russell
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2022
Certification date
Jun 30, 2025
Last updated
Jun 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN289499GAYes
363LF0000X Nurse Practitioner, Family3-002432AL
163WP0809X Registered Nurse, Psych/Mental Health, AdultRN289499GA

Practice location

3201 Macon Rd Ste 109
Columbus, GA 31906-1741

Phone 706-225-8773

Mailing address

2100 Comer Ave
Columbus, GA 31904-8725

Phone 770-596-5500

Other practice locations

2100 Comer Ave
Columbus, GA 31904-8725

Phone 770-596-5500

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