Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESTON WAYNE BENNETT, RN
Active Sole ProprietorJESTON WAYNE BENNETT, RN is a Registered Nurse healthcare provider located in EARLSBORO, Oklahoma. NPI 1770129108 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · EARLSBORO, OK
Registration Details
- NPI Number
- 1770129108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2019 (6.7111499522042 yrs)
- Last Updated
- Nov 20, 2019
- License
-
133212 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
48407 SANDY ROCK RDEARLSBORO, OK, 748408665Browse OK providers · Browse ZIP 74840
- Phone
- 4052148863
- Primary Specialty
-
Registered Nurse
163W00000X
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.