Individual
JESSICA JANE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
584 HOSPITAL DR NE UNIT B, BOLIVIA, NC 28422-0020
(910) 721-4050
(910) 721-4051
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
21787
SC
367A00000X
Advanced Practice Midwife
Primary
825
NC
Other
Enumeration date
04/10/2018
Last updated
07/08/2022
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