Individual
JILL A. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
641 RB WILSON DR, SUITE G, HUNTINGDON, TN 38344
(731) 986-7400
(731) 986-7402
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8197
TN
Other
Enumeration date
07/14/2006
Last updated
04/17/2020
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