Individual provider · Type 1 NPI

Mary Elizabeth Bacon, RN BSN CCM

Case Management Registered Nurse · Portsmouth, VA

NPI number 1407670987 Active

Practice location

620 John Paul Jones Cir Ste 275
Portsmouth, VA 23708-2197

Call (757) 953-0612 Map

Mailing address

126 Conway Ave
Norfolk, VA 23505-4422

Specialties and licenses

Taxonomy	Code	License
Case Management Registered Nurse Primary	163WC0400X	0001078291 (VA)

Case Management Registered Nurse: Definition to come...

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Ana Lidia Solis, MDFamily Medicine Physician Portsmouth, VA NPI 1659692192
Andrew Robert Lithen, MDStudent in an Organized Health Care Education/Training Program Portsmouth, VA NPI 1659169209
April Meshaun Riley, NPPsychiatric/Mental Health Nurse Practitioner Portsmouth, VA NPI 1891666855
Brian Keith Gordon, DMDDentist Portsmouth, VA NPI 1134792666
Casi Wogenrich, MSPsychologist Portsmouth, VA NPI 1427968015
Elisha Bolton, APRNClinical Nurse Specialist Portsmouth, VA NPI 1245195866
Gail P. Mota, PharmDPharmacist Portsmouth, VA NPI 1063728681
Gretchen Elizabeth Kirk, PhDClinical Psychologist Portsmouth, VA NPI 1801132881

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About NPI 1407670987

Mary Elizabeth Bacon, RN BSN CCM's National Provider Identifier is 1407670987, issued on Nov 12, 2024. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Portsmouth, VA. The record was last updated on Nov 12, 2024.