Kelli Jo-Ann Bacon
Kelli Jo-Ann Bacon is a General Practice Registered Nurse in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2023.
- Licensed in
- IN
- In the registry since
- 2023
Practice location Address checks out
1540 Trinity PlMishawaka, IN 46545-5006
Phone: (574) 272-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Registered Nurse (primary) | Taxonomy 163WG0000X · Licence 28188683A (IN) |
|---|
Record details
| NPI number | 1558056655 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 6, 2023 |
| Last updated in NPPES | April 6, 2023 |
| Certification date | April 6, 2023 |
| Mailing address | 1540 Trinity Pl, Mishawaka, IN 46545-5006 |
Other providers in Mishawaka
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Miss. Sarah E Diehl, BSNRN
1540 Trinity Pl, Mishawaka, IN 46545-5006 · (574) 272-9000
-
Kathy L Lyle
1540 Trinity Pl, Mishawaka, IN 46545-5006 · (574) 272-9000
-
Erika Mattern
1540 Trinity Pl, Mishawaka, IN 46545-5006 · (574) 277-9000
-
Christina Wetter, RN
1540 Trinity Pl, Mishawaka, IN 46545-5006 · (574) 272-9000