Individual provider · Type 1 NPI

Stacey E. Bacon, NP-C

Family Nurse Practitioner · Pittsburg, KS

NPI number 1003066085 Active

Practice location

1701 S Broadway St
Pittsburg, KS 66762-5856

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2004015211 (MO)
Family Nurse Practitioner Primary 363LF0000X75561 (KS)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1003066085

Stacey E. Bacon, NP-C's National Provider Identifier is 1003066085, issued on Sep 25, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pittsburg, KS. The record was last updated on Feb 7, 2020.