Individual
JENNIFER GAY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.-C.
Contact information
Practice address
5975 FEDERAL HWY 80, RAYVILLE, LA 71269-2957
(318) 728-2046
(318) 728-9371
Mailing address
755 ROACH RD, CHOUDRANT, LA 71227-3633
(318) 366-7128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04743
LA
Other
Enumeration date
08/16/2005
Last updated
02/10/2012
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