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Contact Information

JORDAN BENTLEY
622 E TARPON AVE
TARPON SPRINGS, FL34689-4202
 Phone: 727-434-2632
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for JORDAN BENTLEY · (Female)

NPI # 1306736723
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2025
Last updated 07/07/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # RN9413887
  • PA License # RN672214
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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