National Provider Identifier Database

JENNIFER M BENALLY, PMHNP-C – NPI #1720513682
Family


Contact Information

JENNIFER M BENALLY, PMHNP-C
794 EASTLAND DR
TWIN FALLS, ID83301-6856
Phone: 208-734-3312
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for JENNIFER M BENALLY

NPI Number 1720513682
Credentials PMHNP-C
Entity Individual
Enumeration date 04/27/2017
Last updated 05/02/2025 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • ID License #: 55167
Hospital affiliation n/a

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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