person
Kimberly S Bacon, NP
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1215207451

Kimberly S Bacon is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Kimberly S Bacon practices in Johnson City, TN and has the professional credentials of NP. The NPI Number for Kimberly S Bacon is 1215207451 and holds a License No. 15209 (Tennessee).

The current practice location address for Kimberly S Bacon is 408 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-431-1810 and via fax at 423-431-1811.

Location: 408 N State Of Franklin Rd, Johnson City, TN, 37604-6089
person
Provider Profile Details
NPI Number
1215207451
Provider Name
Kimberly S Bacon
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
408 N State Of Franklin Rd, Johnson City, TN, 37604-6089
Phone Number
423-431-1810
Fax Number
423-431-1811
Provider Enumeration Date
01/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215207451 05 NC
1527812 05 TN
7100195690 05 VA
P01200424 01 TN RAILROAD MEDICARE PIN
7100195690 05 KY
institution
Provider Business Practice Location Address Details
Address
408 N State Of Franklin Rd
City
State
Zip
37604-6089
Phone Number
423-431-1810
Fax Number
423-431-1811
person
Provider Business Mailing Address Details
Address
408 N State Of Franklin Rd
City
State
Zip
37604-6089
Phone Number
423-431-1810
Fax Number
423-431-1811
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
15209 (Tennessee)
Definition
Definition to come...
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