Individual provider · Type 1 NPI

Angel Bacon, FNP

Family Nurse Practitioner · Aylett, VA

NPI number 1619677481 Active

Practice location

4917 Richmond Tappahannock Hwy Ste 18
Aylett, VA 23009-3416

Call (804) 769-1245 Map

Mailing address

PO Box 780125
Philadelphia, PA 19178-0125

Other practice locations

  • 2603 Nine Mile Road, Ste 110, Richmond, VA 23223 · (804) 877-8325
  • 300 Mt Clement Park Ste C, Tappahannock, VA 22560-5098 · (804) 443-6030
  • 1250 E Marshall St, Richmond, VA 23298-5023 · (804) 769-1245

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024186663 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1619677481

Angel Bacon, FNP's National Provider Identifier is 1619677481, issued on Mar 9, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Aylett, VA. The record was last updated on Jun 18, 2026.