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

MS. Mary Elizabeth Bacon, RNBSNCCM

Individual provider Case Management Registered Nurse · NPI 1407670987

MS. Mary Elizabeth Bacon, RNBSNCCM is a Case Management Registered Nurse in Portsmouth, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

620 John Paul Jones Cir Ste 275
Portsmouth, VA 23708-2197
Phone: (757) 953-0612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 0001078291 (VA)

Record details

NPI number1407670987
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNBSNCCM
Sole proprietorYes
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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