Kimberly Jo Bernacki

Nurse Practitioner · Granville, OH

Individual Active NPI

NPI number 1922699164

Practice location

905 River Rd Ste a
Granville, OH 43023-9560
Phone
(740) 948-8141
Fax
(740) 379-3672

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NPI record

NPI
1922699164
Entity type
Individual (Type 1)
Enumeration date
January 31, 2021
Last updated
April 16, 2026
Certified
April 16, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X F12200807 OH

About Kimberly Bernacki

Kimberly Jo Bernacki is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 905 River Rd Ste a, Granville, OH 43023-9560. The NPI number 1922699164 was assigned on January 31, 2021 and the record was last updated on April 16, 2026.

Kimberly Bernacki lists a license in the registry: #F12200807 (OH) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly Jo Bernacki?

The NPI number is 1922699164.

What is the phone number of Kimberly Bernacki?

The phone number listed for the practice location is (740) 948-8141.

Where is Kimberly Bernacki located?

905 River Rd Ste a, Granville, OH 43023-9560.

What is the taxonomy code for Kimberly Bernacki?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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