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Individual

MRS. JENNIFER ANNMARIE BENTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APNP, PMHNP-BC

Contact information

Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 955-5990
(414) 955-6282
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 955-5990
(414) 955-6282

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14198-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215615380
WI
Enumeration date
07/10/2023
Last updated
02/25/2025
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