Individual
MRS. JENNIFER TAYLOR BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 1E20, NEWARK, DE 19718-2200
(302) 733-5700
(302) 733-5775
Mailing address
4755 OGLETOWN STANTON RD STE 1E20, NEWARK, DE 19718-2200
(302) 733-5700
(302) 733-5775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R151936
MD
363LF0000X
Family Nurse Practitioner
Primary
LG-0001128
DE
363LF0000X
Family Nurse Practitioner
R151936
MD
Other
Enumeration date
02/06/2018
Last updated
03/15/2022
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