Joselyn C Bacon in Jackson - Nurse Practitioner
Joselyn C Bacon - NPI 1811944077
Joselyn C Bacon is a Nurse Practitioner in Jackson, Mississippi. Joselyn C Bacon practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Joselyn C Bacon is 1811944077. The last update date is 2008-08-28.
Joselyn C Bacon's current location address is 350 West Woodrow Wilson Blvd, Jackson, Mississippi. You can contact this provider via phone number 6013642666 and fax number 6013642659. The mailing address for Joselyn C Bacon is 350 West Woodrow Wilson Blvd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joselyn C Bacon |
|---|---|
| Address | 350 West Woodrow Wilson Blvd, Jackson, Mississippi |
| Phone Number | 6013642666 |
| Fax Number | 6013642659 |
| Sole Proprietor | N |
| Credentials | CNM |
NPI Number Detail
| NPI Number | 1811944077 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2008-08-28 |
Provider Mailing Address Detail
| Address | 350 West Woodrow Wilson Blvd |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39215 |
| Phone Number | 6013642666 |
| Fax Number | 6013642659 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R508381 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5603867 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Joselyn C Bacon by the Centers for Medicare & Medicaid Services?
The Joselyn C Bacon has been issued the NPI (National Provider Identifier) 1811944077, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Joselyn C Bacon's facilities are geographically located?
The facilities of Joselyn C Bacon are physically situated at the following location: 350 West Woodrow Wilson Blvd, Jackson, MS, 39215.
What is Joselyn C Bacon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joselyn C Bacon is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Joselyn C Bacon receive the assignment of its 1811944077 from the Centers for Medicare & Medicaid Services?
The Joselyn C Bacon was issued its 1811944077 by the Centers for Medicare & Medicaid Services on 2006-05-30.
When was the information pertaining to Joselyn C Bacon most recently updated or revised?
The details related to Joselyn C Bacon, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-28.