Benton Health Care, Llc

NPI 1023111929 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1023111929
Enumeration Date 09/06/2006
Last Updated 04/20/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JASON JASON
Position FAMILY NURSE PRACTITIONER
Phone (270) 527-3900
Fax (270) 527-3901
Practice Location
414 EAST 12TH STREET
BENTON KY, 42025, US
Phone (270) 527-3900
Fax (270) 527-3901
Business Location
PO BOX 9150
PADUCAH KY, 42002-9150, US
Phone (270) 744-9600
Fax (270) 744-0834
Toxanomy
Taxonomy Code 363LF0000X
License State Kentucky
License Number KY 3122P
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According to our database, Benton Health Care, Llc NPI is 1023111929, taxonomy code is 363LF0000X and license number is KY 3122P, license state is located at Kentucky. Benton Health Care, Llc physically located at 414 East 12th Street, Benton KY, 42025. NPI Number 1033115704 has the healthcare provider type.

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1023111929 NPI number is provided on an as is basis without warranty of any kind. 1023111929 is maintained by the National Plan & Provider Enumeration System. The contents of Benton Health Care, Llc are for informational purposes only.