Individual provider · Type 1 NPI

Jenna Bennett

Student in an Organized Health Care Education/Training Program · Fairborn, OH

NPI number 1629456736 Active

Practice location

5121 Waverly St
Fairborn, OH 45324-1828

Call (937) 408-6691 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629456736

Jenna Bennett's National Provider Identifier is 1629456736, issued on May 8, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairborn, OH. The record was last updated on May 8, 2015.