Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Bacon, FNP-C

Individual provider Family Nurse Practitioner · NPI 1265716344

Jaclyn Bacon, FNP-C is a Nurse Practitioner in Mesa, Arizona. Qualified in 2011, 15 years ago. Practices with Honorhealth Ambulatory, a 625-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2011
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

10238 E Hampton Ave Ste 202
Mesa, AZ 85209-3316
Phone: (623) 512-4390
Fax: (623) 512-4391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP4198 (AZ)

Record details

NPI number1265716344
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 6, 2011
Last updated in NPPESMarch 15, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Honorhealth Ambulatory — 625 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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