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Contact Information

JENNIFER BENNETT
1807 S SUNVIEW
MESA, AZ85206-3634
 Phone: 480-440-1031
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for JENNIFER BENNETT · (Female)

NPI # 1649059866
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2023
Last updated 03/20/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 0000000156
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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