Individual
JUSTINE F FAGER-BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-6000
(317) 705-5047
Mailing address
2555 S ATLANTIC AVE APT 1604, DAYTONA BEACH SHORES, FL 32118-5537
(386) 566-7431
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN3198542
FL
Other
Enumeration date
07/06/2016
Last updated
03/22/2022
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