Jessica A Bacon CNM

NPI 1053663880 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1053663880
Gender Female
Enumeration Date 10/03/2012
Last Updated 10/03/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
770 CENTRAL AVE
DOVER NH, 03820-3437, US
Phone (603) 742-0101
Fax (603) 743-3171
Business Location
770 CENTRAL AVE
DOVER NH, 03820-3437, US
Phone (603) 742-0101
Fax (603) 743-3171
Toxanomy
Taxonomy Code 367A00000X
License State New Hampshire
License Number 12100354
Remove 1053663880 NPI Number
 

According to our database, Ms. Jessica A Bacon CNM NPI is 1053663880, taxonomy code is 367A00000X and license number is 12100354, license state is located at New Hampshire. Jessica A Bacon CNM physically located at 770 Central Ave, Dover NH, 03820-3437. NPI Number Jessica A Bacon CNM has the Individual type.

Sponsored links

1053663880 NPI number is provided on an as is basis without warranty of any kind. 1053663880 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica A Bacon CNM are for informational purposes only.