Individual provider · Type 1 NPI

Courtney Bacon

Licensed Practical Nurse · Johnstown, NY

NPI number 1831868603 Active

Practice location

465 N Perry St
Johnstown, NY 12095-1014

Mailing address

121 Opportunity Dr
Schoharie, NY 12157-2912

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X321752 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1831868603

Courtney Bacon's National Provider Identifier is 1831868603, issued on Sep 7, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Johnstown, NY. The record was last updated on Sep 7, 2021.