HomeNPI Verification

NPI Verification

National Provider Identifier: 1174293138

Justin Baines Bennett

Individual Provider

Primary Specialty

Nurse Practitioner, Family

Code: 363LF0000X

All Specialties (3)

Registered Nurse, Home Health

Code: 163WH0200X

Family Medicine

Code: 207Q00000X

Nurse Practitioner, Family

Code: 363LF0000X

Primary

Practice Address

4314 WILLIAMSTOWN PIKE

WILLIAMSTOWN, WV 261878083

Phone: 304-482-6029

NPI Enumeration Date

September 20, 2021

NPI Number

1174293138

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry