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

Kimberly S Bacon, NP

Individual provider Family Nurse Practitioner · NPI 1215207451

Kimberly S Bacon, NP is a Family Nurse Practitioner in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

408 N State Of Franklin Rd Ste 24
Johnson City, TN 37604-6089
Phone: (423) 431-1810
Fax: (423) 431-1811
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 15209 (TN)

Record details

NPI number1215207451
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 5, 2012
Last updated in NPPESJanuary 26, 2017

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