Individual
MRS. JO LYNN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
1401 LOUISA ST, RAYVILLE, LA 71269-3245
(318) 334-5825
(318) 301-6826
Mailing address
1401 LOUISA ST, RAYVILLE, LA 71269-3245
(318) 334-5825
(318) 301-6826
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP08079
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2382942
—
LA
Enumeration date
11/25/2014
Last updated
08/30/2024
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