# JEAN M BANVILLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407035744
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 021072-21 | NH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 051072-23 | NH | Yes |

## Other

- **Enumeration date:** 11/02/2007
- **Last updated:** 11/08/2007