Individual provider · Type 1 NPI

Kimberly S. Bacon, NP

Family Nurse Practitioner · Johnson City, TN

NPI number 1215207451 Active

Practice location

408 N State Of Franklin Rd, Suite 24
Johnson City, TN 37604-6089

Fax (423) 431-1811

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X15209 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1215207451

Kimberly S. Bacon, NP's National Provider Identifier is 1215207451, issued on Jan 5, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnson City, TN. The record was last updated on Jan 26, 2017.