person
Drucilla Bacon, CRNP
Family Nurse Practitioner in Tallmadge, Ohio
NPI 1912270620

Drucilla Bacon is a Family Nurse Practitioner based in Tallmadge, OH and is specialized in Family. Drucilla Bacon practices in Tallmadge, OH and has the professional credentials of CRNP. The NPI Number for Drucilla Bacon is 1912270620 and holds a License No. NP-13312 (Ohio).

The current practice location address for Drucilla Bacon is 33 North Ave, Tallmadge, OH and can be reached out via phone at 330-344-3990 and via fax at 330-634-9433.

Location: 33 North Ave, Tallmadge, OH, 44278-1925
person
Provider Profile Details
NPI Number
1912270620
Provider Name
Drucilla Bacon
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
33 North Ave, Tallmadge, OH, 44278-1925
Phone Number
330-344-3990
Fax Number
330-634-9433
Provider Enumeration Date
02/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0066886 05 OH
0091231 01 OH PARTNERS PHYSICIAN GROUP MEDICAID GROUP # URGENT CARE
9338635 01 OH PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
1841239274 01 OH PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
1992138028 01 OH PARTNERS PHYSICIAN GROUP TYPE 2 NPI # URGENT CARE
2551671 01 OH PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
institution
Provider Business Practice Location Address Details
Address
33 North Ave
City
State
Zip
44278-1925
Phone Number
330-344-3990
Fax Number
330-634-9433
person
Provider Business Mailing Address Details
Address
33 North Ave
City
State
Zip
44278-1925
Phone Number
330-344-3990
Fax Number
330-634-9433
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP-13312 (Ohio)
Definition
Definition to come...
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