Individual provider · Type 1 NPI
Justin Baines Bennett
Family Nurse Practitioner · Williamstown, WV
NPI number
1174293138
Active
Practice location
4314 Williamstown Pike
Williamstown, WV 26187-8083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN.385551 (OH) |
| Family Medicine Physician | 207Q00000X | LE-00038485 (OH) |
| Family Nurse Practitioner Primary | 363LF0000X | 110892 (WV) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Williamstown
About NPI 1174293138
Justin Baines Bennett's National Provider Identifier is 1174293138, issued on Sep 20, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Williamstown, WV. The record was last updated on Feb 9, 2022.