Bacon, Jessica
Bacon, Jessica is an individual health care provider with primary practice located at 10 Pope Ave # 5566 , Hilton Head SC 29928-4719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bacon, Jessica can be contacted via phone (843) 785-7786.Contact Information
Primary practice address
10 Pope Ave # 5566
Hilton Head SC 29928-4719
Phone: (843) 785-7786
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN292014 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 24873 | South Carolina |
Profile Details
| NPI number | 1407449663 |
|---|---|
| LBN Legal business name | Bacon, Jessica |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2021 |
| Last updated | Feb 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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