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
Phone: (724) 714-8439
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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