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Stacey Bacon, NP-C
NPI 1003066085 · on the registry since 2008
Practice
- Address
- 1701 S Broadway St
Pittsburg, KS 66762 - Phone
- (620) 235-4452
- Organisation at this address
- Pittsburg State University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Also registered as
- Family Nurse Practitioner
- Licence states on file
- MO, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas