Individual
JESSICA LYNN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
729 E MICHIGAN AVE, JACKSON, MI 49201-1625
(517) 539-3018
Mailing address
507 N 17TH ST, MILWAUKEE, WI 53233-2104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5315261700
MI
Other
Enumeration date
07/09/2025
Last updated
10/21/2025
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