Bennett, Jared

Bennett, Jared is an individual health care provider with primary practice located at 3100 N West St Ste 300 , Flagstaff AZ 86004-1651. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bennett, Jared can be contacted via phone (928) 774-0775.

Contact Information

Primary practice address
3100 N West St Ste 300 Flagstaff AZ 86004-1651
Phone: (928) 774-0775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP8973 Arizona

Profile Details

NPI number 1760855373
LBN Legal business name Bennett, Jared
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2015
Last updated May 19th, 2021 - about 3 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.

Request for update

Popular Providers