| Kimberly S Bacon, NP | |
|
408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 | |
| (423) 431-1810 | |
| (423) 431-1811 |
| Full Name | Kimberly S Bacon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 408 N State Of Franklin Rd, Johnson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215207451 | NPI | - | NPPES |
| 1215207451 | Medicaid | NC | |
| 1527812 | Medicaid | TN | |
| 7100195690 | Medicaid | VA | |
| P01200424 | Other | TN | RAILROAD MEDICARE PIN |
| 7100195690 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 15209 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly S Bacon, NP 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 Ph: (423) 431-1810 | Kimberly S Bacon, NP 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 Ph: (423) 431-1810 |
Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353 | |
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-6940 | |
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320 | |
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227 | |
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199 | |
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720 | |
Miss Samantha Manuel I, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 W Oakland Ave, Suite 301, Johnson City, TN 37604 Phone: 423-952-8000 Fax: 423-952-8001 |