Individual
MS. JOSELYN C BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
(601) 364-2666
(601) 364-2659
Mailing address
350 WEST WOODROW WILSON BLVD, HINDS COUNTY HEALTH DEPARTMENT, JACKSON, MS 39215
(601) 364-2666
(601) 364-2659
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R508381
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05603867
—
MS
Enumeration date
05/30/2006
Last updated
08/28/2008
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