Individual
MS. JENNIFER DEANN BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
810 ARENDELL ST, MOREHEAD CITY, NC 28557-4235
(252) 499-9598
Mailing address
PO BOX 3387, MORGANTON, NC 28680-3387
(828) 584-1105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200837
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6113151
—
NC
05
—
7004929
—
NC
Enumeration date
04/08/2010
Last updated
04/13/2023
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