IndividualActive
Jessica Bacon
NPI 1821413063 · Critical Care Neonatal Nurse Practitioner · Dayton, OH
Provider details
- NPI number
- 1821413063
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- COA.15424 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Childrens Plz
Dayton, OH 45404-1873
Phone: (937) 641-3414
Approximate (ZIP-level) locationGet directions
Mailing address
1 Childrens Plz
Dayton, OH 45404-1873
Registry dates
- Enumerated
- 2014-02-25
- Last updated
- 2014-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.