Individual provider · Type 1 NPI

Christine Bacon

Nurse's Aide · Farmington, MO

NPI number 1417848870 Active

Practice location

1085 Maple St
Farmington, MO 63640-1955

Mailing address

3309 S Kingshighway Blvd
St. Louis, MO 63139-1101

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XNone listed

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1417848870

Christine Bacon's National Provider Identifier is 1417848870, issued on Jul 14, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Farmington, MO. The record was last updated on Jul 14, 2025.