Individual
JACKIE BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 12TH ST, PARKERSBURG, WV 26101-4339
(304) 424-7172
Mailing address
39 12TH ST, PARKERSBURG, WV 26101-4339
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
50642
WV
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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