Individual provider · Type 1 NPI

Kimberly Jo Bernacki

Nurse Practitioner · Granville, OH

NPI number 1922699164 Active

Practice location

905 River Rd Ste A
Granville, OH 43023-9560

Fax (740) 379-3672

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF12200807 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1922699164

Kimberly Jo Bernacki's National Provider Identifier is 1922699164, issued on Jan 31, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Granville, OH. The record was last updated on Apr 16, 2026.