Individual
JESSICA SOPHIA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, SRNA
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Mailing address
424 HERITAGE VILLAGE LN, APEX, NC 27502-8492
(919) 606-8289
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
270909
NC
Other
Enumeration date
07/23/2019
Last updated
04/04/2022
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