Individual provider · Type 1 NPI

Theresa Tarver Bacon, RN

Adult Psychiatric/Mental Health Registered Nurse · West Monroe, LA

NPI number 1124351614 Active

About NPI 1124351614

Theresa Tarver Bacon, RN's National Provider Identifier is 1124351614, issued on Sep 15, 2009. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in West Monroe, LA. The record was last updated on Sep 15, 2009.