Bentley, Jennifer Annmarie

Bentley, Jennifer Annmarie is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Wauwatosa WI 53226-4874. 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. Bentley, Jennifer Annmarie can be contacted via phone (414) 955-5990.

Contact Information

Primary practice address
9000 W Wisconsin Ave Wauwatosa WI 53226-4874
Phone: (414) 955-5990
Fax: (414) 955-6282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 14198-33 Wisconsin

Profile Details

NPI number 1215615380
LBN Legal business name Bentley, Jennifer Annmarie
Credentials MSN, APNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2023
Last updated May 28th, 2024 - about 7 months 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 1215615380 NPPES
Wisconsin MEDICAID 1215615380

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