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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN BAINES BENNETT

Active Sole Proprietor

JUSTIN BAINES BENNETT is a Family Nurse Practitioner healthcare provider located in WILLIAMSTOWN, West Virginia. NPI 1174293138 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · WILLIAMSTOWN, WV

Registration Details

NPI Number
1174293138
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2021 (4.7155759677706 yrs)
Last Updated
Feb 9, 2022
Licenses
RN.385551 (OH)
LE-00038485 (OH)
110892 (WV)
Sole Proprietor
Yes

Practice Information

Address
4314 WILLIAMSTOWN PIKE
WILLIAMSTOWN, WV, 261878083
Browse WV providers · Browse ZIP 26187
Phone
3044826029
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Medicine
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in WILLIAMSTOWN, WV

Name Credential NPI
VERONICA MURPHY NP 1770738478
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.