Bennett, Judana Sandra

Bennett, Judana Sandra is an sole proprietor health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bennett, Judana Sandra can be contacted via phone (617) 643-8281.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (617) 643-8281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2278761 Massachusetts

Profile Details

NPI number 1073130167
LBN Legal business name Bennett, Judana Sandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2020
Last updated Jun 17th, 2022 - 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.

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