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JESSICA BACON
NPI 1821413063
Nurse Practitioner - Neonatal, Critical Care in Dayton, OH

Active since February 25, 2014
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3414 Get Directions Write a Review

NPPES record last updated: February 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Bacon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BACON (NPI 1821413063) is an individual neonatal, critical care provider in Dayton, Ohio, licensed in Ohio (COA.15424) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1821413063
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameJESSICA BACON
Location Address1 CHILDRENS PLZDayton, OH 45404-1873
Mailing Address1 Childrens PlzDayton, OH 45404-1873 · (937) 641-3414
Phone(937) 641-3414
Sole ProprietorNo
Enumeration DateFebruary 25, 2014
✔ NPI 1821413063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in OH · COA.15424
1 CHILDRENS PLZ, Dayton, OH 45404
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
DR. EMMETT H BROXSON JR. MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3111
DR. RAMAKRISHNA MUTYALA MD
Pediatrics (Pediatric Gastroenterology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bacon's NPI number?

The NPI number for Jessica Bacon is 1821413063. It was assigned to this individual provider in the NPPES registry on February 25, 2014.

Where is Jessica Bacon located?

Jessica Bacon practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3414.

What is Jessica Bacon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Jessica Bacon was last updated on February 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.