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

KIMBERLY S BACON, NP

Active Sole Proprietor

Family Nurse Practitioner · JOHNSON CITY, TN

Registration Details

NPI Number
1215207451
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2012 (14.302914545514 yrs)
Last Updated
Jan 26, 2017
License
15209 (TN)
Sole Proprietor
Yes

Practice Information

Address
408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN, 376046089
Browse TN providers · Browse ZIP 37604
Phone
4234311810
Fax
4234311811
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in JOHNSON CITY, TN

Name Credential NPI
MICHAEL DAVID SMITH NURSE PRACTITIONER 1003819707
PAMELA L. GREER F.N.P. 1598769903
SARAH E. BELCHER F.N.P. 1245234657
MELISSA O LEAKE FNP 1740285915
SARA L MULLINS FNP 1861497323
MELISSA L GRISSINGER FNP 1821099151
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.