Mary Bacon, RN BSN CCM
NPI 1407670987 · Case Management Registered Nurse · Portsmouth, VA
Mary Bacon, RN BSN CCM is a Case Management Registered Nurse provider in Portsmouth, VA (NPI 1407670987).
Provider details
- NPI number
- 1407670987
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN BSN CCM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0001078291 (VA)
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-11-12
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.