Bacon, Joselyn C

Bacon, Joselyn C is an individual health care provider with primary practice located at 350 W Woodrow Wilson Ave , Jackson MS 39213-7681. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bacon, Joselyn C can be contacted via phone (601) 364-2666.

Contact Information

Primary practice address
350 W Woodrow Wilson Ave Jackson MS 39213-7681
Phone: (601) 364-2666
Fax: (601) 364-2659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R508381 Mississippi

Profile Details

NPI number 1811944077
LBN Legal business name Bacon, Joselyn C
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Aug 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811944077 NPPES
Mississippi MEDICAID 05603867

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