| NPI | 1467759035 |
|---|---|
| Former Name | JACLYN HALEY BENNINGFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3006642) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2024-08-06 |