1. Home
  2. Directory
  3. Ohio
  4. Tallmadge
  5. Nurse Practitioner
  6. NPI Profile

DRUCILLA BACON CRNP
NPI 1912270620
Nurse Practitioner - Family in Tallmadge, OH

Active since February 13, 2012
33 NORTH AVE, #104, TALLMADGE, OH 44278(330) 344-3990(330) 634-9433 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Drucilla Bacon Crnp NPPES

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

DRUCILLA BACON CRNP (NPI 1912270620) is an individual family provider in Tallmadge, Ohio, licensed in Ohio (NP-13312) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1912270620
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDRUCILLA BACONCredential: CRNP
Location Address33 NORTH AVE, #104Tallmadge, OH 44278-1925
Mailing Address33 North Ave, #104Tallmadge, OH 44278-1925 · (330) 344-3990 · Fax (330) 634-9433
Phone(330) 344-3990
Fax(330) 634-9433
Sole ProprietorNo
Enumeration DateFebruary 13, 2012
Last NPPES UpdateMarch 17, 2015
✔ NPI 1912270620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · NP-13312
33 NORTH AVE, Tallmadge, OH 44278
Open in Google Maps ↗

Other Identifiers 7

Other0091231OH · Partners Physician Group Medicaid Group # Urgent Care
Medicaid0066886OH
Other1841239274OH · Partners Physician Group Type 2 Npi #
Other2551671OH · Partners Physician Group Medicaid Group #
Medicare PINH010534OH
Other1992138028OH · Partners Physician Group Type 2 Npi # Urgent Care
Other9338635OH · Partners Physician Group Medicare Group #

Other Providers at the Same Location NPPES 12

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

COURTNEY TIMBERLAKE NP-C
Nurse Practitioner (Family)
33 NORTH AVE, SUITE 103
TALLMADGE, OH 44278
Summit County (330) 633-3883
AKRON GENERAL MEDICAL CENTER
General Practice
33 NORTH AVE, STE 202
TALLMADGE, OH 44278
Summit County (330) 344-2273
LAURA PATTERSON
Physical Therapy Assistant
33 NORTH AVE
TALLMADGE, OH 44278
Summit County (330) 344-3990
JOSHUA R COLEMAN M.D.
Pediatrics
33 NORTH AVE
TALLMADGE, OH 44278
Summit County (330) 344-3990
NANCY J. KEOGH PHD
Psychologist
33 NORTH AVE
TALLMADGE, OH 44278
Summit County (330) 633-7083
THE CLEVELAND CLINIC FOUNDATION
General Practice
33 NORTH AVE, STE 104
TALLMADGE, OH 44278
Summit County (216) 444-2273
JESSICA RIGGS FNP-BC
Nurse Practitioner (Family)
33 NORTH AVE, #104
TALLMADGE, OH 44278
Summit County (330) 344-3990
JENNALEE CHAGIN NP
Nurse Practitioner (Family)
33 NORTH AVE
TALLMADGE, OH 44278
Summit County (330) 344-3990

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 Drucilla Bacon's NPI number?

The NPI number for Drucilla Bacon is 1912270620. It was assigned to this individual provider in the NPPES registry on February 13, 2012.

Where is Drucilla Bacon located?

Drucilla Bacon practices at 33 North Ave #104, Tallmadge, OH 44278. The listed phone number is (330) 344-3990.

What is Drucilla Bacon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Drucilla Bacon was last updated on March 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.