Individual
JAMIE LYNN BENOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16994 KIRKSHIRE AVE, BEVERLY HILLS, MI 48025-3252
(248) 346-3952
Mailing address
16994 KIRKSHIRE AVE, BEVERLY HILLS, MI 48025-3252
(248) 346-3952
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704298615
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704298615
MI
Other
Enumeration date
02/21/2020
Last updated
04/13/2023
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