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Individual

JASON P BENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
109 ADAMS LN, PORTERSVILLE, PA 16051-2419
(724) 201-4808
(724) 220-4505
Mailing address
109 ADAMS LN, PORTERSVILLE, PA 16051-2419
(724) 201-4808
(724) 220-4505

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN618876
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP010989
PA

Other

Enumeration date
09/03/2009
Last updated
01/16/2026
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