Individual
JENNIFER K BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
2797 NC HIGHWAY 55, CARY, NC 27519
(866) 389-2727
(401) 652-9787
Mailing address
10531 HOLLYBROOK DR, CHARLOTTE, NC 28277-0513
(704) 321-5345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA 05213 NP
OH
363LF0000X
Family Nurse Practitioner
Primary
152745
NC
Other
Enumeration date
04/12/2007
Last updated
03/21/2013
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