Benton, Jennifer

Benton, Jennifer is an sole proprietor health care provider with primary practice located at 11107 Ulysses St Ne , Blaine MN 55434-4263. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Benton, Jennifer can be contacted via phone (763) 333-7725.

Contact Information

Primary practice address
11107 Ulysses St Ne Blaine MN 55434-4263
Phone: (763) 333-7725
Fax: (763) 333-7711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R 165945-0 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20111983 Minnesota

Profile Details

NPI number 1477758696
LBN Legal business name Benton, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Jun 30th, 2021 - about 4 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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