-- JAMIE BENNETT -- APRN, PMHNP-BC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1700115334- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN, PMHNP-BC
- Status
- Active
Contact & Location
- Address
- 420 S. JACKSON ST., JACKSON, WY, 83001
- Phone
- (307) 200-9706
- Fax
- (307) 733-6289
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: WY #19278
Clinical Nurse Specialist, Psych/Mental Health
License: WY #19278.1031