Individual
JAZZLYNN M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-0593
(508) 334-3513
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2304203
MA
363LA2100X
Acute Care Nurse Practitioner
209219
CT
Other
Enumeration date
09/25/2023
Last updated
01/20/2026
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