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JENNIFER S BENNETT NP-C

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1801101035

Individual Registrant:
 JENNIFER S BENNETT NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
58 BIG A ROAD  TOCCOA, GA 30577-6000 US
Tel: 706-886-6819  Fax: 706-282-5368

Contact information for business:
58 BIG A ROAD  TOCCOA, GA 30577-6000 US
Tel: 706-886-6819  Fax: 706-282-5368

Registration Information:
NPI: 1801101035
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GA144863

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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