NPI 1003066085

Stacey E Bacon, NPC

Practitioner Family Nurse Practitioner Pittsburg, KS

Practice location

Address: 1701 S Broadway St, Pittsburg, KS 66762-5856
Phone: (620) 235-4452

Registered specialties (2)

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 75561 (KS)

Other Nurse Practitioner providers in Kansas →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 2004015211 (MO)

Registry record

NPI: 1003066085
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2008
Record last updated: 7 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.