Individual
JILL MARIE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 242-7943
Mailing address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN523679L
PA
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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