Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Russom, NP

Individual provider Family Nurse Practitioner · NPI 1508506536

Kimberly Russom, NP is a Nurse Practitioner in Union City, Tennessee. Qualified in 2021, 5 years ago. Practices with Hometown Urgent Care of Dyersburg, PLLC, a 9-clinician group. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1705 W Reelfoot Ave
Union City, TN 38261-5569
Phone: (731) 599-1102
Fax: (731) 599-1107
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 31286 (TN)

Record details

NPI number1508506536
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hometown Urgent Care Of Dyersburg, Pllc — 9 clinicians
Accepts Medicare assignment Not indicated

Other providers in Union City