Individual
CHRISTINA N BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28244194A
IN
363L00000X
Nurse Practitioner
Primary
71014678A
IN
Other
Enumeration date
08/07/2023
Last updated
12/11/2025
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