Individual
DONNA JOANNE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5580 HUMMINGBIRD RD, BASCOM, FL 32423-9136
(850) 569-2627
Mailing address
5580 HUMMINGBIRD RD, BASCOM, FL 32423-9136
(850) 569-2627
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9388168
FL
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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