Individual
SHERILYN JO BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1341 W 6TH ST, WALDRON, AR 72958-7642
(479) 637-1181
Mailing address
1683 JENKINS RD, PO BOX 2031, WALDRON, AR 72958-8061
(479) 637-1181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R86370
AR
363LF0000X
Family Nurse Practitioner
Primary
A003998
AR
Other
Enumeration date
11/14/2013
Last updated
02/24/2014
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