Bennett, Jo Ellen

Bennett, Jo Ellen is an individual health care provider with primary practice located at 2173A Centerville Pl , Tallahassee FL 32308-4356. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bennett, Jo Ellen can be contacted via phone (850) 385-0144.

Contact Information

Primary practice address
2173A Centerville Pl Tallahassee FL 32308-4356
Phone: (850) 385-0144
Fax: (850) 385-0146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2604452 Florida

Profile Details

NPI number 1811970114
LBN Legal business name Bennett, Jo Ellen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Oct 15th, 2007 - about 17 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 1811970114 NPPES
Florida Other G2471 BCBS OF FL

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