NPI 1043924434

Jonni Bacon, RN

Practitioner Registered Nurse Toppenish, WA

Practice location

Address: 401 Buster Rd, Toppenish, WA 98948-9792
Phone: (509) 865-2102
Mailing address: 2502 Woolsey Rd Unit D, Yakima, WA 98903-5810

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence NUR-RN-LIC-177340 (MT)

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Registry record

NPI: 1043924434
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2023
Record last updated: 10 Jan 2023

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.