MRS. JENNIFER HELEN BENTERS


Address: 1200 W State St, Rockford, IL 61102-2112
Phone: 8157901600

MRS. JENNIFER HELEN BENTERS (NPI# 1982004461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982004461
Entity Type Individual
Full Name MRS. JENNIFER HELEN BENTERS
Credential CPNP
Practice Address 1200 W State St
Rockford
IL 61102-2112
Practice Telephone 8157901600
Practice Fax Number 8154901881
Mailing Telephone 8154901600
Mailing Fax Number 8154901881
Enumeration Date 2014-09-03
Last Update Date 2014-09-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
209011789 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 W STATE ST
City ROCKFORD
State IL
Zip Code 61102-2112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780680827 Barbara B Morgan Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2005-06-23
1588271894 Angela Siebold Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2020-09-30
1942814322 Jacqueline Paige Cabrera Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2020-09-03
1285250951 Aaleeyah Pringle Alim Dentist 1200 W State St, Rockford, IL 61102-2112 2020-06-18
1639792419 Jessica Lauren Cole Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2020-05-27
1437779071 Christian Murillo Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2020-04-23
1033746573 Erin Ashleigh Donahue Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2020-03-25
1609406008 Marissa Dreger Family Medicine 1200 W State St, Rockford, IL 61102-2112 2020-01-24
1962041657 Sabrina Lee Puvalowski Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2019-12-30
1932741717 Jacob Dalton Boehm Physician Assistant 1200 W State St, Rockford, IL 61102-2112 2019-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205115383 Renee Lynn Keeney Advanced Practice Midwife 1200 W. State Street, Crusader Community Health, Rockford, IL 61102 2011-08-08
1689895906 Linda Lou O'reilly Local Education Agency (LEA) 1515 S. Meridian Road, Rockford, IL 61102 2007-05-02
1801012992 Jennifer Anne Boyd Developmental Therapist Nia 1515 S. Meridian Rd., Rockford, IL 61102 2007-04-17
1609173434 Kellie J Gibbons Registered Nurse 650 W State Street, Winnebago County Jail Medical Unit, Rockford, IL 61102-0000 2011-02-14
1275708752 Mercy Ambulance Service LLC Ambulance 1025 Campton Dr, Rockford, IL 61102-1066 2008-04-25
1417448424 Brittany Nicole Lambert Student in an Organized Health Care Education/Training Program 8040 Towermont Dr, Rockford, IL 61102-1080 2018-05-24
1164490132 Harlan Johnson Counselor 852 Lakewood Dr, Rockford, IL 61102-1228 2006-03-08
1184137283 Gail Mary Swenson Speech-Language Pathologist 730 Lincoln Park Blvd, Rockford, IL 61102-1429 2017-11-10
1659316339 Institute of Family Care Home Health 417 S Pierpont Ave, Rockford, IL 61102-1656 2006-06-18
1861851438 Walgreen Co Durable Medical Equipment & Medical Supplies 1200 W State St Ste 102, Rockford, IL 61102-2112 2016-02-11
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750675872 Heather Nicole Sharp Nurse Practitioner 1200 West State Street, Rockford, IL 61102-2112 2011-06-06
1952387789 Lori Lynn Thompson Nurse Practitioner 826 N Main St, Rockford, IL 61103-6906 2005-12-22
1780680827 Barbara B Morgan Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2005-06-23
1043850068 Lauren E Bell Nurse Practitioner 8201 E Riverside Blvd, Rockford, IL 61114-2300 2020-01-07
1043785793 Rachel Lee Danks Nurse Practitioner 6861 Villagreen Vw, Rockford, IL 61107-5639 2018-10-09
1114464765 Amanda M Bustle Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2017-01-20
1407309941 Amanda Macke Nurse Practitioner 1200 West State Street, Rockford, IL 61102-2112 2016-08-02
1316304744 Kristin Vanderwell Nurse Practitioner 6050 Northland Dr Ne Ste 200, Rockford, MI 49341 2016-01-15
1023446770 Kerin Cummins Nurse Practitioner 1200 W State St, Rockford, IL 61102-2112 2013-10-16
1891942710 Shannon M Krueger Nurse Practitioner 2300 N Rockton Ave, Rockford, IL 61103-3619 2008-08-21
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61102

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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