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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY RUSSOM, NP

Active

KIMBERLY RUSSOM, NP is a Family Nurse Practitioner healthcare provider located in UNION CITY, Tennessee. NPI 1508506536 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · UNION CITY, TN

Registration Details

NPI Number
1508506536
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2022 (4.3545876089056 yrs)
Last Updated
Mar 29, 2022
License
31286 (TN)

Practice Information

Address
1705 W REELFOOT AVE
UNION CITY, TN, 382615569
Browse TN providers · Browse ZIP 38261
Phone
7315991102
Fax
7315991107
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in UNION CITY, TN

Name Credential NPI
SHERRI L RANDOLPH APRN, BC 1639175854
RENEA L NAGEL-TERRELL CFNP 1619977584
LAURA RUSSELL CFNP 1710974761
MR. MICHAEL CHAD ODLE F.N.P. 1295722114
AMY MICHELLE MYERS CFNP 1598746372
PAULA M VASSAR NP 1275634503
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.