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Mary Bacon, RN BSN CCM

NPI 1407670987 · on the registry since 2024 · sole proprietor

Practice

Address: 620 John Paul Jones Cir Ste 275
Portsmouth, VA 23708
Phone: (757) 953-0612
Organisation at this address: Nmc
Nmcp
Dfas-Cl/Jflp
Nmc Portsmouth
United States Navy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 1,633

Registry record

Primary taxonomy: Case Management Registered Nurse
163WC0400X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-11-12

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 Virginia