Individual
JILL CHRISTINE BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1953 RANDOL AVE, CAPE GIRARDEAU, MO 63701-2320
(573) 382-4785
Mailing address
1953 RANDOL AVE, CAPE GIRARDEAU, MO 63701-2320
(573) 382-4785
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2004007343
MO
Other
Enumeration date
05/26/2009
Last updated
07/05/2015
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