Individual
JENNIFER R BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7894
Mailing address
BLDG 301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7894
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
246Z00000X
Other Specialist/Technologist
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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