Jean Lazenby Benton, FNP-C | |
111 E Third Ave, Gastonia, NC 28052-4343 | |
(704) 874-3300 | |
(704) 874-0065 |
Full Name | Jean Lazenby Benton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 111 E Third Ave, Gastonia, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467458588 | NPI | - | NPPES |
7000985 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 200956 (North Carolina) | Primary |
Entity Name | Gaston Family Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
Mailing Address | Practice Location Address |
---|---|
Jean Lazenby Benton, FNP-C 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1904 | Jean Lazenby Benton, FNP-C 111 E Third Ave, Gastonia, NC 28052-4343 Ph: (704) 874-3300 |
Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313 | |
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202 | |
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294 | |
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948 | |
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228 | |
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274 | |
Mrs. Cecilia Apau-kese, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1282 Audubon Dr, Gastonia, NC 28054 Phone: 704-718-4150 |