JANNA ALENE BENNETT


Address: 67 Yolanda Dr, San Anselmo, CA 94960
Phone: 4153100493

JANNA ALENE BENNETT (NPI# 1568987261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568987261
Entity Type Individual
Full Name JANNA ALENE BENNETT
Practice Address 67 Yolanda Dr
San Anselmo
CA 94960
Mailing Address 67 Yolanda Dr
San Anselmo
CA 94960-1709
Practice Telephone 4153100493
Enumeration Date 2017-08-03
Last Update Date 2017-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
18374 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 67 YOLANDA DR
City SAN ANSELMO
State CA
Zip Code 94960

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Taxonomy Information

Taxonomy Code 363LP0222X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics, Critical Care

Taxonomy Definition

Definition to come...

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Competitor

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City SAN ANSELMO
Zip Code 94960

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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