| Doctor Name: | JENNIFER GAY BENNETT |
| NPI Number: | 1255323390 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P.-C. |
| License Number: | AP04743 |
| Business Practice Address: | 5975 Federal Hwy 80 Rayville, LA - 712692957 |
| Business Phone Number: | 3187282046 |
| Business Fax Number: | 3187289371 |
| Mailing Address: | 755 Roach Rd, CHOUDRANT |
| State: | LA |
| Postal Code: | 712273633 |
| Phone Number: | 3183667128 |
| Fax Number: | |
| NPI Enumeration Date: | 08/16/2005 |
| NPI Last Update Date: | 02/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP04743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |