| Jackie Dawn Bennett, FNP-BC | |
|
103 Chico Ct, Monte Vista, CO 81144-1065 | |
| (719) 852-9400 | |
| (719) 852-9311 |
| Full Name | Jackie Dawn Bennett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 103 Chico Ct, Monte Vista, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174028849 | NPI | - | NPPES |
| RN0162822 | Other | CO | RN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0993785-NP (Colorado) | Primary |
| Entity Name | Valley Citizens' Foundation For Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396783981 PECOS PAC ID: 7517951536 Enrollment ID: O20040413000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Dawn Bennett, FNP-BC 371 Pinon Valley Rd, Del Norte, CO 81132-9014 Ph: (719) 588-1557 | Jackie Dawn Bennett, FNP-BC 103 Chico Ct, Monte Vista, CO 81144-1065 Ph: (719) 852-9400 |
Ms. Laura Lee Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 2nd Ave, Monte Vista, CO 81144 Phone: 719-852-2512 Fax: 719-852-3923 | |
Dr. Vanessa Elizabeth Zwegers, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 2nd Ave, Monte Vista, CO 81144 Phone: 719-582-2512 Fax: 719-852-3923 |