Jaclyn Bacon, FNP-C

NPI 1265716344 · on the registry since 2011

Practice

Address: 10238 E Hampton Ave
Suite 202
Mesa, AZ 85209
Phone: (623) 512-4390
Fax: (623) 512-4391
Organisation at this address: Umpc Pllc
Akdhc, Llc
Fyk Med Pllc
Mind Clinic Inc
M A Uddin Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 72

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-03-15

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 Arizona