Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLEY JEAN BACON, PA-C
ActiveCARLEY JEAN BACON, PA-C is a Surgical Physician Assistant healthcare provider located in CAMBRIDGE, Minnesota. NPI 1316417157 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CAMBRIDGE, MN
Registration Details
- NPI Number
- 1316417157
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2018 (7.6960915880178 yrs)
- Last Updated
- Jan 4, 2024
- License
-
PA12540 (TX)
Practice Information
- Address
-
701 DELLWOOD ST SCAMBRIDGE, MN, 550081920Browse MN providers · Browse ZIP 55008
- Phone
- 7636898700
- Fax
- 7636887941
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.