Individual provider · Type 1 NPI

Jean Lazenby Benton, FNP-C

Nurse Practitioner · Gastonia, NC

NPI number 1467458588 Active

Practice location

111 E Third Ave
Gastonia, NC 28052-4343

Fax (704) 874-0065

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X200956 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467458588

Jean Lazenby Benton, FNP-C's National Provider Identifier is 1467458588, issued on Jun 23, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gastonia, NC. The record was last updated on Oct 16, 2019.