Individual provider · Type 1 NPI

Jan Leslie Bacon, A.P.R.N.

Nurse Practitioner · Norman, OK

NPI number 1891778122 Active

Practice location

700 Wall St
Norman, OK 73069

Fax (866) 259-0044

Mailing address

900 N Porter Ave, Suite 310
Norman, OK 73071-6424

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR0040808 (OK)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1891778122

Jan Leslie Bacon, A.P.R.N.'s National Provider Identifier is 1891778122, issued on Nov 21, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Norman, OK. The record was last updated on Nov 8, 2013.