Bennett, Jo Lynn

Bennett, Jo Lynn is an individual health care provider with primary practice located at 205 Grayson St , West Monroe LA 71292-6231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bennett, Jo Lynn can be contacted via phone (318) 570-5907.

Contact Information

Primary practice address
205 Grayson St West Monroe LA 71292-6231
Phone: (318) 570-5907
Fax: (318) 654-4957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP08079 Louisiana

Profile Details

NPI number 1740687334
LBN Legal business name Bennett, Jo Lynn
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2014
Last updated Jul 19th, 2023 - about 2 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 1740687334 NPPES
Louisiana MEDICAID 2382942

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