Individual
MRS. JENNIFER M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
175 NORTHUMBERLAND STREET, DANVILLE, PA 17821-1508
(570) 284-4575
(570) 284-4577
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023862
PA
363LF0000X
Family Nurse Practitioner
5007317
NC
Other
Enumeration date
11/07/2014
Last updated
09/28/2021
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