Bennetts, Jennifer Lynn

Bennetts, Jennifer Lynn is an individual health care provider with primary practice located at 781 36Th St Se , Wyoming MI 49548-2319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bennetts, Jennifer Lynn can be contacted via phone (616) 252-4100.

Contact Information

Primary practice address
781 36Th St Se Wyoming MI 49548-2319
Phone: (616) 252-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704216401 Michigan

Profile Details

NPI number 1366814006
LBN Legal business name Bennetts, Jennifer Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2015
Last updated Oct 3rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366814006 NPPES
Michigan MEDICAID 1366814006

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