Bennett, Jamie

Bennett, Jamie is an individual health care provider with primary practice located at 640 East Broadway , Jackson WY 83001-1868. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bennett, Jamie can be contacted via phone (307) 733-2046.

Contact Information

Primary practice address
640 East Broadway Jackson WY 83001-1868
Phone: (307) 733-2046
Fax: (307) 733-6289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 19278.1031 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 19278 Wyoming

Profile Details

NPI number 1700115334
LBN Legal business name Bennett, Jamie
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2009
Last updated Mar 26th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700115334 NPPES
Wyoming Other 19278 PSYCHIATRIC NURSE PRACTICONER

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