person
Kimberly Russom, NP
Family Nurse Practitioner in Union City, Tennessee
NPI 1508506536

Kimberly Russom is a Family Nurse Practitioner based in Union City, TN and is specialized in Family. Kimberly Russom practices in Union City, TN and has the professional credentials of NP. The NPI Number for Kimberly Russom is 1508506536 and holds a License No. 31286 (Tennessee).

The current practice location address for Kimberly Russom is 1705 W Reelfoot Ave, Union City, TN and can be reached out via phone at 731-599-1102 and via fax at 731-599-1107.

Location: 1705 W Reelfoot Ave, Union City, TN, 38261-5569
person
Provider Profile Details
NPI Number
1508506536
Provider Name
Kimberly Russom
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1705 W Reelfoot Ave, Union City, TN, 38261-5569
Phone Number
731-599-1102
Fax Number
731-599-1107
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1705 W Reelfoot Ave
City
State
Zip
38261-5569
Phone Number
731-599-1102
Fax Number
731-599-1107
person
Provider Business Mailing Address Details
Address
1705 W Reelfoot Ave
City
State
Zip
38261-5569
Phone Number
731-599-1102
Fax Number
731-599-1107
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
31286 (Tennessee)
Definition
Definition to come...
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