Justin Baines Bennett
Justin Baines Bennett is a Nurse Practitioner in Williamstown, West Virginia. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio and West Virginia.
- Years since qualifying
- 5
- Licensed in
- OH, WV
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
4314 Williamstown PikeWilliamstown, WV 26187-8083
Phone: (304) 482-6029
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 110892 (WV) |
|---|---|
| Home Health Registered Nurse | Taxonomy 163WH0200X · Licence RN.385551 (OH) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence LE-00038485 (OH) |
Record details
| NPI number | 1174293138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2021 |
| Last updated in NPPES | February 9, 2022 |
| Certification date | February 9, 2022 |
| Mailing address | 4314 Williamstown Pike, Williamstown, WV 26187-8083 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |