Jackie Dawn Bennett, FNP-BC Valid NPI

Individual provider · Family Nurse Practitioner · Monte Vista, CO

NPI

1174028849

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

0993785-NP (CO)

Sex

Female

Sole proprietor

No

Enumerated

2018-03-26

Last updated

2025-09-12