Individual
MS. JOAN IRENE PERSON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC,CRNP-F
Contact information
Practice address
103 CHESAPEAKE PARK PLZ, MIDDLE RIVER, MD 21220-4201
(410) 682-1595
(410) 682-2538
Mailing address
103 CHESAPEAKE PARK PLZ, MIDDLE RIVER, MD 21220-4201
(410) 682-1595
(410) 682-2538
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R152891
MD
Other
Enumeration date
09/17/2009
Last updated
11/16/2021
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