Individual provider · Type 1 NPI

Kimberly Russom, NP

Family Nurse Practitioner · Union City, TN

NPI number 1508506536 Active

Practice location

1705 W Reelfoot Ave
Union City, TN 38261-5569

Fax (731) 599-1107

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X31286 (TN)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

Other family nurse practitioner providers in Union City

See all in Union City →

About NPI 1508506536

Kimberly Russom, NP's National Provider Identifier is 1508506536, issued on Mar 29, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Union City, TN. The record was last updated on Mar 29, 2022.