JAMIE BENNETT APRN PMHNP-BC NPI 1700115334

NPI Information

NPI: 1700115334
Provider Name: JAMIE BENNETT, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
640 EAST BROADWAY
JACKSON, WY
ZIP 83001
Phone: (307) 733-2046
Get Directions

Jamie Bennett, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Jackson, WY. Jamie Bennett, APRN, PMHNP-BC NPI is 1700115334. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

640 EAST BROADWAY
JACKSON, WY
ZIP 83001-868
Phone: (307) 733-2046
Fax: (307) 733-6289

The NPI 1700115334 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/10/2009 and was last updated on 3/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	19278.1031	WYOMING	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	19278	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	19278	OTHER	WYOMING	PSYCHIATRIC NURSE PRACTICONER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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