Bennett, Jacklyn Brooke

Bennett, Jacklyn Brooke is an individual health care provider with primary practice located at 1035 Constitution Ave , Ellwood City PA 16117-3234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bennett, Jacklyn Brooke can be contacted via phone (724) 714-8439.

Contact Information

Primary practice address
1035 Constitution Ave Ellwood City PA 16117-3234
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP029854 Pennsylvania

Profile Details

NPI number 1770325672
LBN Legal business name Bennett, Jacklyn Brooke
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2024
Last updated Jun 11th, 2024 - about 5 months 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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