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

Kimberly Jo Bernacki

Individual provider Nurse Practitioner · NPI 1922699164

Kimberly Jo Bernacki is a Nurse Practitioner in Granville, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

905 River Rd Ste A
Granville, OH 43023-9560
Phone: (740) 948-8141
Fax: (740) 379-3672
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F12200807 (OH)

Record details

NPI number1922699164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 31, 2021
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address905 River Rd Ste A, Granville, OH 43023-9560

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