Individual
JOHN BACORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
41 ASHTON BLUFF CIR, MT HOLLY, NC 28120-2437
(757) 513-3168
Mailing address
41 ASHTON BLUFF CIR, MT HOLLY, NC 28120-2437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
265250
NC
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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